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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 4.

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

Category of BT Width Height
Thickness
Lateral Superior Inferior Anterior Posterior

IBT Lateral boundaries of cervix Lower extent of cervical lip with vaginal applicator as surrogate Outer surface of the cervix &/or uterus guided by Pre BT MR dimensions Outer surface of the cervix &/or uterus guided by Pre BT MR dimensions
IIBT Proximal parametrium defined by clinical/TRUS based NMD’s (if available) and guided by NMD’s on Pre-BT MR Lower two thirds of utero-cervical dimensions Include appropriate length of vaginal wall defined by clinical examination and with /without guidance of markers implanted and the Pre BT MR findings with few mm longitudinal and upto 2 cm circumferential safety margins
To utilize TRUS based distances (if available) To utilize TRUS based distances (if available)
IIIBT Distal parametrium defined by clinical/TRUS based NMD’s (if available) and guided by NMD’s on Pre-BT MR$
IVBT Proximal /distal parametrium/Up to lateral pelvic wall defined by clinical/TRUS based NMD’s (if available) and guided by NMD’s on Pre-BT MR. Length and circumference of vagina should not exceed vaginal disease at diagnosis In addition to outer surface of the cervix &/or uterus to include the bladder wall/mucosae involved with 2 cm margins at least guided by Pre BT MR findings

To utilize TRUS based distances (if available)
In addition to outer surface of the cervix &/or uterus to include the rectal wall/mucosae involved with 2 cm margins at least guided by Pre BT MR findings


To utilize TRUS based distances (if available)