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Dose and volume specification for reporting gynaecological brachytherapy: time for a change

2001; Elsevier BV; Volume: 58; Issue: 1 Linguagem: Inglês

10.1016/s0167-8140(00)00323-6

1879-0887

A.G. Visser, R.P. Symonds,

Radiation Dose and Imaging

The ICRU 38 report ‘Dose and volume specification for reporting intra-cavitary therapy in gynaecology’ [ [9] ICRU, International Commission of Radiation Units and Measurements. Dose and volume specification for reporting intracavitary therapy in gynaecology, ICRU Report 38, 1985, Bethesda, MD. Google Scholar ] was, at the time of publication, a pioneering effort as it provided a method of specification in terms of volumes rather than a dose at a single point. However, fifteen years after publication of ICRU-38, it has to be recognised that some of the concepts in the report did not gain wide acceptance and others failed the test of time. Two papers in this issue of Radiotherapy and Oncology [ 6 Grigsby P.W. Williamson J.F. Chao K.S.C. Perez C.A. Cervical tumour control evaluated with ICRU 38 reference volumes and integrated reference air kerma (IRAK). Radiother Oncol. 2001; 58: 19-23 Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar , 19 Pötter R. Van Limbergen E. Gerstner N. Wambersie A. Survey of the use of ICRU 38 in recording and reporting cervical cancer brachytherapy. Radiother Oncol. 2001; 58: 11-18 Abstract Full Text Full Text PDF PubMed Scopus (84) Google Scholar ] address various aspects of the problems associated with dose and volume specification in gynaecological brachytherapy. These papers pose questions, which will need to be addressed in a revision of the ICRU-38 report.