Do you modify your treatment for a patient with ulcerative colitis needing vaginal brachytherapy?
Answer from: Radiation Oncologist at Community Practice
For adjuvant treatment, I switch to 6 Gy x 5 to surface to reduce total dose to rectum instead of 7 Gy x 3 at 5 mm. Also, sometimes I have used a multichannel cylinder to off load Isodose line from rectum based on anatomy.
By doing as above d2cc of rectum is usually in the 10 Gy range which is...
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Answer from: Radiation Oncologist at Academic Institution
Agree with Dr. @Sushil Beriwal. Also treat with a full bladder to push bowel and sometimes sigmoid out of the way.