4.5 Review

Ultrasound guidance for cervical implantation

Journal

INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
Volume 32, Issue 3, Pages 266-272

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/ijgc-2021-002464

Keywords

brachytherapy; radiotherapy; image-guided

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Ultrasound is an important tool in cervical cancer treatment, providing real-time imagery and improving the physician's spatial awareness. Its routine use has been supported by mounting evidence and it has been widely used in clinical practice.
Ultrasound can provide real-time imagery without the risk of radiation exposure, and it is widely available at a relatively low cost. It can provide updated three-dimensional information that can improve the physician's spatial awareness during a brachytherapy procedure for cervical cancer. There is mounting evidence demonstrating the numerous benefits of ultrasound-guided brachytherapy in the published literature. This evidence supports its routine use to improve the safety and the effectiveness of cervical brachytherapy. In this report we will review various methods in which ultrasound imaging has been used during cervical brachytherapy. We also include a description of our own institutional approach to ultrasound-guided cervical implementation that has been in use for all cervical brachytherapy procedures over the past two decades.

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