IHERO UseCase brachy
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Case 1) After the course of HDR/PDR brachytherapy for GYN, nodal boost with IMRT might be needed. It would be of great help if the dose distribution from the brachytherapy fractions (4-5 fraction for HDR, 2 fractions for PDRs) can be displayed on the CTs/MRs acquired for the IMRT boost so the IMRT planning is done in an efficient manner. Currently, this is done in a manual fashion. This is a connectivity issue between brachytherapy treatment planning systems and external beam TPS from different vendors. The nodes are far away from the GYN implant so issues with tissue deformation due to the rigid applicator might not be an issue.