IBT
|
Lateral boundaries of cervix |
Lower two thirds of utero-cervical dimensions |
Lower extent of cervical lip with vaginal applicator as surrogate |
Outer surface of the cervix &/or uterus |
Outer surface of the cervix &/or uterus |
IIBT
|
Proximal parametrium defined by clinical and TRUS (if available) based NMD’s |
Include appropriate length of vaginal wall defined by clinical examination and with/without guidance of markers implanted, maybe with safety margins, few mm longitudinal and up to 2 cm circumferential |
To utilize TRUS based distances (if available) |
To utilize TRUS based distances (if available) |
|
Additional 3–5 mm margins especially if the corresponding region of parametrium was involved at diagnosis |
|
|
IIIBT
|
Distal parametrium/upto lateral pelvic wall defined by clinical and TRUS based NMD’s |
|
|
|
Additional 3–5 mm margins especially if the corresponding region of parametrium was involved at diagnosis |
|
|
|
IVBT
|
Proximal /distal parametrium/upto lateral pelvic wall defined by clinical and TRUS based (if available) |
|
|
In addition to outer surface of the cervix &/or uterus to include the bladder wall/mucosae involved with 2 cm margins at least. |
In addition to outer surface of the cervix &/or uterus to include the rectal wall/mucosae involved with 2 cm margins at least. |
|
NMD’s Additional 3–5 mm margins especially if the corresponding region of parametrium was involved at diagnosis |
|
|
|
|
|
|
To utilize TRUS based distances (if available) |
To utilize TRUS based distances (if available) |