As presented on October 16, 2025 at the Hands-On Workshop Palm Desert, CA
This Varian-sponsored luncheon at the October 2025 ABS workshops in Palm Desert addressed a 2025 white paper on “Selection of Hybrid Applicators for Adaptive Cervical Cancer: A Practical Guide.” Four prominent radiation oncologists, Cody R. Kilar, Harjot Kaur Bajwa, Phillip M. Pifer, and Sushil Beriwal authored the publication. The EMBRACE II trials demonstrated that image-guided brachytherapy and particularly MR imaging are vital in the treatment of cervical cancer because of optimal dosimetry and critical organ sparing. Hybrid techniques use needles to supplement traditional cervical applicators allowing the dose to be adapted to the clinical case and sparing critical structures. The talk addresses which applicators may be used in different clinical scenarios as well as needle selection and how many, with considerations for anatomy and tumor size.