Integration of Ultrasound in Image-Guided Adaptive Brachytherapy in Cancer of the Uterine Cervix

Author:

Manea Elena12,Chitoran Elena34ORCID,Rotaru Vlad34,Ionescu Sinziana34ORCID,Luca Dan34,Cirimbei Ciprian34,Alecu Mihnea34,Capsa Cristina5,Gafton Bogdan12,Prutianu Iulian26,Serban Dragos37,Simion Laurentiu34

Affiliation:

1. Department of Radiotherapy, Regional Institute of Oncology, 700483 Iasi, Romania

2. “Gr. T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania

3. “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania

4. General Surgery and Surgical Oncology Department I, Bucharest Institute of Oncology “Prof. Dr. Al. Trestioreanu”, 022328 Bucharest, Romania

5. Radiology and Medical Imaging Department, Bucharest Institute of Oncology “Prof. Dr. Al. Trestioreanu”, 022328 Bucharest, Romania

6. Department of Morpho-Functional Sciences I—Histology, University of Medicine and Pharmacy “Gr. T. Popa”, 700483 Iasi, Romania

7. Surgery Department IV, Bucharest Clinical Emergency Hospital, 050098 Bucharest, Romania

Abstract

Cervical cancer continues to be a public health concern, as it remains the second most common cancer despite screening programs. It is the third most common cause of cancer-related death for women, and the majority of cases happen in developing nations. The standard treatment for locally advanced cervical cancer involves the use of external beam radiation therapy, along with concurrent chemotherapy, followed by an image-guided adaptive brachytherapy (IGABT) boost. The five-year relative survival rate for European women diagnosed with cervical cancer was 62% between 2000 and 2007. Updated cervical cancer treatment guidelines based on IGABT have been developed by the Gynecological working group, which is composed of the Group Européen de Curiethérapie–European Society for Therapeutic Radiology and Oncology. The therapeutic strategy makes use of three-dimensional imaging, which can be tailored to the target volume and at-risk organs through the use of computed tomography or magnetic resonance imaging. Under anaesthesia, the brachytherapy implantation is carried out. Ultrasonography is utilised to assess the depth of the uterine cavity and to facilitate the dilation of the uterine canal during the application insertion. In this study, we examine data from the international literature regarding the application of ultrasound in cervical cancer brachytherapy.

Publisher

MDPI AG

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