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4D MR adaptive brachytherapy of uterine cervix carcinoma in FN Hradec Králové

01/2019 MUDr. Igor Sirák, Ph.D.; Petra Sýkorová; Ing. Jakub Grepl; Ing. Petr Paluska; Šárka Kollárová; Iva Dostálová; Ing. Martin Kopeček; Martina Šůnová; Monika Sedláčková; Ing. Linda Kašaová; MUDr. Miroslav Hodek, Ph.D.; MUDr. Milan Vošmik, Ph.D.
Radiotherapy and particulary brachytherapy have been major treatment modalities for cervical cancer for over 100 years. Most of this time the brachytherapy treatment planning was based on radiographs and reference point dosimetry. Due to research of European Society for Radiotherapy and Oncology (GEC-ESTRO) a 3D brachytherapy planning, based on the magnetic resonance imaging with adaptation of the treatment to actual tumor regression in time (4D), has become a standard of care in the last decade. University hospital in Hradec Kralove is the first center in the Czech Republic to implement the adaptive brachytherapy planning of cervical carcinoma based solely on the magnetic resonance imaging for each fraction.
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