Intravaginal brachytherapy – experience of complex oncology centre Burgas in the treatment of uterine carcinomas and cervical carcinomas
Bulgarian Medical Journal, 2025, 19(4), 60-65.
Ts. Ivanova1,2, P. Dobrev1,2, D. Gospodinov1,2, N. Gerasimov3, V. Lyubomirov4
1University “Prof. Dr. Assen Zlatarov,” – Burgas
2Complex Oncology Centre – Burgas
3Medical College, Takia University – Stara Zagora
4USBALO – Sofia
Abstract. Three-dimensional planning for high-dose-rate brachytherapy in uterine and cervical cancer is strongly recommended by the American Brachytherapy Society and the Groupe Europeen de Curietherapie – European Society for Therapeutic Radiology and Oncology. In this article, we describe the experience of Complex Oncology Center – Burgas, in computed tomography (CT) based planning using the vaginal CT/MR multi-channel applicator. We discuss the effect of applicator placement on doses to the organs at risk (OAR), namely bladder and rectum, partly small intestine, dose effect on radiation reactions and survival.
Key words: brachytherapy, critical organs, radiation reactions
Address for correspondence: Tsetelina Ivanova, MD, e-mail: cvetelina_iv@abv