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. Author manuscript; available in PMC: 2021 Dec 16.
Published in final edited form as: Radiother Oncol. 2021 May 18;160:273–284. doi: 10.1016/j.radonc.2021.05.010

Table 2.

Width, Height and Thickness details for defining and delineating four categories of CTV-THR-CT based on CT at diagnosis and CT at BT (CTDG – CTBT Environment).

Category of BT Width Height
Thickness
Lateral Superior Inferior Anterior Posterior

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)