ABSTRACT

The use of IVRT is generally limited to the treatment of the vaginal mucosa when the depth of treatment required is < 5 mm beyond the vaginal surface. Tumors that extend to a greater depth should be treated with alternative methods such as an interstitial implant. This technique is most commonly used in the postoperative treatment of the vaginal cuff for endometrial cancer; however, it may be applicable to other gynecologic malignancies. IVRT can be delivered using either low-dose-or high-dose-rate techniques.