1. PET/CT in gynecologic cancer Anne Kiil Berthelsen, PET & Cyclotron Unit, Dept of Radiation Oncology Rigshospitalet, Copenhagen University Hospital, Denmark

2. 1 PET scanner 2 PET/CT 1 CT-scanner 2 Cyclotrons 2 Radiochemistry Laboratories 9 Accelerators, 1 dedicated for Stereotactic Treatment

4. PET/CT IN THE DIAGNOSTIC PROCEDURE OF CERVICAL CANCER.

8. Copenhagen cervical cancer PET/CT study Results

9. Aim Evaluate PET/CT in the diagnostic of cervical cancer.

11. FIGO STAGE 5 4A 44 3B 1 3A 31 2B 7 2A 4 1B Bulky 28 1B

19. Para-aortic lymph node metastases

22. Pulmonary metastasis

23. Liver metastasis

25. PET/CT for radiotherapy

28. 4-fields box technique

29. Cervical cancer Para-aortic LN

31. PET/CT for Radiotherapy. What do you need?

32. Special flat top bed

33. External LAP laser system

34. Automatic iv contrast media

35. Fix point tattoo

36. Well educated staff

37. Time!!!!

39. Tumour delineation on PET/CT GTV PET (Gross tumour volume defined by PET) drawn as a ROI on each PET/CT slice and transfered to eclipse.

41. Vessels,pet pos gtv,gtv

42. Kidney,bladder,rectum

43. Retroperitoneum,intestine

45. Tumour definition and organs at risk

46. Dose plan

47. Dose plan. Coronal view.

48. Cervical cancer- remember the whole-body scan!

50. Pelvic Mass project:

56. Benign-looking tumour. Histology: benign cyst

57. Fibroma

58. Ovarian Cancer with involment of the Spleen

59. Looks supicious on CT and UL- benign-looking on PET. Histology: Benign cyst