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Concerning IMRT treatments, the averaged deviation for the 418 fields verified was equal to −0.3 ± 2.6% (1SD) proving that the method is able to reconstruct a dose for dynamic IMRT pelvic fields.
Approximately 60% of patients irradiated over abdominal and/or pelvic fields experienced emesis during radiotherapy [1], [3] [4].
Inclusion criteria for both cohorts were that patients were at least 18 years of age, had radiotherapy over abdominal or pelvic fields and were able to take part in the study procedure.
In cases where the final treatment field used was much bigger than the GTV (e.g. a four-field box for pelvic fields) then small differences were negligible, although with conformal therapy these differences could become important.
RAD is applied as external treatment with pelvic fields and 4500 cGy, combined with weekly administration of cisplatin, at the radiosensitizer dose of 40 mg/m body surface (the therapeutic dose of platinum amounts to 100 mg/m body surface) and afterwards brachytherapy, as additional dose.
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In clinical practice, two pelvic field size designs are in use.
In this case, although complete connection to the abdominal dissection could not be created by TEA alone, a subsequent additional dissection from the abdomen provided an opening to the pelvic field and left the levator muscles intact.
The first 45 Gy was given to the pelvic field.
The cranial margin was set at the top of bilateral iliac crest for the whole pelvic field.
Surgical resection for recurrent endometrial cancer has traditionally been limited to a selected group of patients presenting with a central pelvic recurrence within a previously irradiated pelvic field.
The whole pelvic field received 25 fractions of 180cGy/d over 5 weeks, for a total of 5040 cGy, using a 4-field box technique.
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