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1 FEMALE PELVIS Normal Tissue RTOG Consensus Contouring Guidelines Hiram A. Gay, M.D., H. Joseph Barthold, M.D., Elizabeth O’Meara, C.M.D., Walter R. Bosch, Ph.D., Issam El Naqa, Ph.D., Rawan Al-Lozi, Seth A. Rosenthal, M.D., Colleen Lawton, M.D., F.A.C.R., W. Robert Lee, M.D., Howard Sandler, M.D., Anthony Zietman, M.D., Robert Myerson, M.D., PH.D., Laura A. Dawson, M.D., Christopher Willett, M.D., Lisa A. Kachnic, M.D., Anuja Jhingran, M.D., Lorraine Portelance, M.D., Janice Ryu, M.D., William Small, Jr., M.D., David Gaffney, M.D., Ph.D., Akila N. Viswanathan, M.D., M.P.H, and Jeff M. Michalski, M.D. Supported by grants from the National Cancer Institute, CA21661, CA32115, and CA37422

FEMALE PELVIS Normal Tissue - crtog.org · FEMALE PELVIS Normal Tissue RTOG Consensus Contouring Guidelines Hiram A. Gay, M.D., H. Joseph Barthold, M.D., Elizabeth O’Meara, C.M.D.,

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1

FEMALE PELVIS Normal Tissue

RTOG Consensus Contouring Guidelines

Hiram A. Gay, M.D., H. Joseph Barthold, M.D., Elizabeth O’Meara, C.M.D., Walter R. Bosch, Ph.D.,

Issam El Naqa, Ph.D., Rawan Al-Lozi, Seth A. Rosenthal, M.D., Colleen Lawton, M.D., F.A.C.R.,

W. Robert Lee, M.D., Howard Sandler, M.D., Anthony Zietman, M.D., Robert Myerson, M.D., PH.D.,

Laura A. Dawson, M.D., Christopher Willett, M.D., Lisa A. Kachnic, M.D., Anuja Jhingran, M.D.,

Lorraine Portelance, M.D., Janice Ryu, M.D., William Small, Jr., M.D., David Gaffney, M.D., Ph.D.,

Akila N. Viswanathan, M.D., M.P.H, and Jeff M. Michalski, M.D.

Supported by grants from the National Cancer Institute, CA21661, CA32115, and CA37422

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSi

66

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

67

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

68

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

69

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

70

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

71

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

72

GYN: Sigmoid AnoRectum BowelBag

Bladder

UteroCervix

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

UteroCervix

73

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

74

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

oral contrast would have helped distinguish the small

bowel from the colon

GI: Small Bowel AnoRectumSig Colon

75

GYN: Sigmoid AnoRectum BowelBag

Stop contouring Sigmoid prior to connecting to the ascending colon laterally

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

76

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

77

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

78

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

79

GYN: Sigmoid AnoRectum BowelBag

The BowelBag is bounded by the muscles and bone.

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

80

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

81

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

Ascending Colon

Descending Colon

GI: Small Bowel AnoRectumSig Colon

82

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

83

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

84

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

85

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

86

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

87

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

88

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

89

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

90

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

91

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

92

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

93

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

94

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

95

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

96

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

97

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

98

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

99

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

100

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

101

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

102

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

103

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

104

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

105

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

106

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

107

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

Transverse Colon

GI: Small Bowel AnoRectumSig Colon

108

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

109

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

110

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

111

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

112

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

113

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

114

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

115

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

116

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

117

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

118

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

119

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

120

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

121

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

122

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

123

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

124

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

125

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

126

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

127

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

128

GYN: Sigmoid AnoRectum BowelBag

GYN/GI: UteroCervix Femur_L Femur_R Adnexa_R Adnexa_L Bladder

GI: Small Bowel AnoRectumSig Colon

129