PURPOSE: This report presents an update to the @entity7593 ( @entity7593 ) @entity1168 ( @entity1168 ) brachytherapy guidelines for locally advanced cervical @entity5 . METHODS: Members of the @entity7593 with expertise in cervical @entity5 formulated updated guidelines for @entity1168 brachytherapy using tandem and ring, ovoids, cylinder, or interstitial applicators for locally advanced cervical @entity5 . These guidelines were written based on medical evidence in the literature and input of clinical experts in gynecologic brachytherapy. RESULTS: The @entity7593 affirms the essential curative role of tandem-based brachytherapy in the management of locally advanced cervical @entity5 . Proper applicator selection, insertion, and imaging are fundamental aspects of the procedure. Three-dimensional imaging with magnetic resonance or computed tomography or radiographic imaging may be used for treatment planning. Dosimetry must be performed after each insertion before treatment delivery. Applicator placement, dose specification, and dose fractionation must be documented, quality assurance measures must be performed, and followup information must be obtained. A variety of dose/fractionation schedules and methods for integrating brachytherapy with external-beam radiation exist. The recommended @entity5 dose in 2-Gray (Gy) per fraction radiobiologic equivalence (normalized therapy dose) is 80-90Gy, depending on @entity5 size at the time of brachytherapy. Dose limits for normal tissues are discussed. CONCLUSION: These guidelines update those of 2000 and provide a comprehensive description of @entity5 brachytherapy in 2011.

XXXX consensus guidelines for locally advanced carcinoma of the cervix. Part II: @entity1168 brachytherapy.

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancer', 'HDR cervical cancer'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['HDR', 'high-dose-rate'] @entity7593 :: ('MESH:D006478', 'Disease') :: ['ABS', 'American Brachytherapy Society']
@entity7593 :: (MESH:D006478,Disease) :: ['American Brachytherapy Society']
