Application of MRI for improved local control in complex radiotherapy of cervical cancer

Janaki Hadjiev, Zsolt Cselik, P. Bogner, Árpád Kovács, Ferenc Lakosi, Gyula Kotek, I. Repa

Research output: Contribution to journalArticle

Abstract

Background: The aim of this study was to analyze the use of magnetic resonance imaging (MRI) as a modern medical imaging technique in radiotherapy with special emphasis on the integration of MRI and a novel technique in brachytherapy to optimize treatment outcome in cervical cancer. Methods: In addition to the CT based shrinking volume conformal teletherapy in 31 patients with locally advanced cervical cancer, MRI examination with a special adjustable applicator at the treatment site was performed for the brachytherapy planning. To avoid excessive doses to the healthy structures during complex cervical radiotherapy isodose curves were calculated upon the information of the MR image and dose distribution was evaluated. Results: The consecutive application of CT and MRI limited the possibility for overdosage of the critical organs and undertreatment of the advanced tumor spread in all cases. The overall response rate for the complex treatment was 74.2% with complete regression in 25.8% of the cases. Based on the exact information of the three dimensional digital data radiation doses could be optimized without increasing the possibility of acute complications rate. Conclusion: The introduction of 3D treatment planning for teletherapy pelvic and boost irradiation of cervical carcinoma as well as for the brachytherapy part of the complex treatment is to be recommended.

Original languageEnglish
Pages (from-to)95-100
Number of pages6
JournalArchive of Oncology
Volume14
Issue number3-4
DOIs
Publication statusPublished - Dec 2006

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Uterine Cervical Neoplasms
Brachytherapy
Radiotherapy
Magnetic Resonance Imaging
Diagnostic Imaging
Therapeutics
Radiation
Carcinoma
Neoplasms

Keywords

  • Brachytherapy
  • Magnetic resonance imaging
  • Radiology, interventional
  • Radiotherapy dosage
  • Uterine cervical neoplasms

ASJC Scopus subject areas

  • Oncology

Cite this

Application of MRI for improved local control in complex radiotherapy of cervical cancer. / Hadjiev, Janaki; Cselik, Zsolt; Bogner, P.; Kovács, Árpád; Lakosi, Ferenc; Kotek, Gyula; Repa, I.

In: Archive of Oncology, Vol. 14, No. 3-4, 12.2006, p. 95-100.

Research output: Contribution to journalArticle

Hadjiev, Janaki ; Cselik, Zsolt ; Bogner, P. ; Kovács, Árpád ; Lakosi, Ferenc ; Kotek, Gyula ; Repa, I. / Application of MRI for improved local control in complex radiotherapy of cervical cancer. In: Archive of Oncology. 2006 ; Vol. 14, No. 3-4. pp. 95-100.
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