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Comparative Dosimetric Study Using Various Applicators for Vaginal Cuff Brachytherapy; Three Ovoid Technique Proposal

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Purpose: Vaginal-cuff brachytherapy is the adjuvant treatment in women with intermediate-high risk of endometrial or uterine cervical cancers. The most common applicators are single-channel vaginal cylinders and two-symmetric ovoid applicators according to the shape of the stump. For two-ovoid applicators, the distance between them depends on the therapist and vaginal size. A greater distance means a lower dose in the vaginal apex point. To overcome this problem, this study proposes brachytherapy plans using three-ovoid applicators to improve insufficient dose distribution.
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Title: Comparative Dosimetric Study Using Various Applicators for Vaginal Cuff Brachytherapy; Three Ovoid Technique Proposal
Description:
Purpose: Vaginal-cuff brachytherapy is the adjuvant treatment in women with intermediate-high risk of endometrial or uterine cervical cancers.
The most common applicators are single-channel vaginal cylinders and two-symmetric ovoid applicators according to the shape of the stump.
For two-ovoid applicators, the distance between them depends on the therapist and vaginal size.
A greater distance means a lower dose in the vaginal apex point.
To overcome this problem, this study proposes brachytherapy plans using three-ovoid applicators to improve insufficient dose distribution.

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