Optimizing parametrial aperture design utilizing HDR brachytherapy isodose distribution

Katherine L. Chapman, Nitin Ohri, Timothy N. Showalter, Laura A. Doyle

Research output: Contribution to journalArticlepeer-review


Treatment of cervical cancer includes combination of external beam radiation therapy (EBRT) and brachytherapy (BRT). Traditionally, coronal images displaying dose distribution from a ring and tandem (R&T) implant aid in construction of parametrial boost fields. This research aimed to evaluate a method of shaping parametrial fields utilizing contours created from the high-dose-rate (HDR) BRT dose distribution. Eleven patients receiving HDR-BRT via R&T were identified. The BRT and EBRT CT scans were sent to FocalSim (v4.62)® and fused based on bony anatomy. The contour of the HDR isodose line was transferred to the EBRT scan. The EBRT scan was sent to CMS-XIO (v4.62)® for planning. This process provides an automated, potentially more accurate method of matching the medial parametrial border to the HDR dose distribution. This allows for a 3D-view of dose from HDR-BRT for clinical decision-making, utilizes a paperless process and saves time over the traditional technique.

Original languageEnglish (US)
Pages (from-to)50-54
Number of pages5
JournalJournal of Contemporary Brachytherapy
Issue number1
StatePublished - Mar 29 2013


  • Brachytherapy
  • Cervical cancer
  • Combined modality

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging


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