What is the role of parametrial and pelvic side wall boosts in the setting of volumetric brachytherapy for locally advanced cervical cancer treated with either 3DCRT or IMRT?   

Does using something like a vienna applicator allow you to avoid dose escalation with more external beam? How do you recommend doing a classic parametrial boost? Should this be volume based or based on bony landmarks?



Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Academic Institution