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) | ||||