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1
FEMALE PELVIS Normal Tissue
RTOG Consensus Contouring GuidelinesHiram A. Gay, M.D., H. Joseph Barthold, M.D., Elizabeth OMeara, 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
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2
Organ Standardized
TPS Name
Tumor
Category
Consensus Definition
anus +
rectum
AnoRect um GYN Inferiorly from the anal verge as marked with a radiopaque marker at the
time of simulation. Contouring ends superiorly before the rectum loses itsround shape in the axial plane and connects anteriorly with the sigmoid. The
AnoRectum is used with the Sigmoid and BowelBag.
sigmoid Si gmoi d GYN Bowel continuing where the AnoRectum contour ended. Stops prior toconnecting to the ascending colon laterally. Contoured when a brachytherapy
applicator rests in the uterus. Any sigmoid adjacent or above the uterus or a
brachytherapy applicator should be contoured.
bowel bag Bowel Bag GYN * Inferiorly from the most inferior small or large bowel loop, or above theRectum (GU) or AnoRectum (GYN), whichever is most inferior. If whenfollowing the bowel loop rule the Rectum or AnoRectum is present in that
axial slice, it should be included as part of the bag; otherwise it should be
excluded.
Tips: Contour the abdominal contents excluding muscle and bones. Contour
every other slice when the contour is not changing rapidly, and interpolate
and edit as necessary. Finally, subtract any overlapping non-GI normal
structures. If the TPS does not allow subtraction leave as is.
*Stop contouring the BowelBag, SmallBowel, and Colon 1 cm above PTV for most coplanar beam plans, but the
choice will depend on the treatment technique. Stop these PTVs at distances much greater than 1 cm for non-coplanar
beam plans depending on the beam angle and path. Tomotherapy plans will require stopping from 1 to 5 cm above the
PTV, depending on the selected field size, which is often 2.5 cm.
Abbreviations: TPS = treatment planning software
GYN
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3
Organ Standardized
TPS Name
Tumor
Category
Consensus Definition
bladder Bl adder GYN, GI Inferiorly from its base, and superiorly to the dome
uterus +
cervixUt er oCer vi x GYN The uterus and cervix as one structure. Tip: Fuse with MRI to help identify
it.
ovaries +
fallopian
tubes
Adnexa_RAdnexa_L
GYN Right and left ovary and fallopian tube. Tip: Fuse with MRI to help identify
these. Refer to the article by Olson et al. PubMed ID: 1609137
proximal
femurs
Femur _RFemur_L
GYN, GI The proximal femur inferiorly from the lowest level of the ischial
tuberosities (right or left) and superiorly to the top of the ball of the femur,
including the trochanters.
Tips: Auto-contouring threshold parameters with bone can facilitate this
process, but requires editing any auto-contouring artifacts.
GYN/GI
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4
Organ Standardized
TPS Name
Tumor
Category
Consensus Definition
small bowel Smal l Bowel GI * In order to distinguish from large bowel, the use of oral contrast is
encouraged. After administration of contrast (e.g. 3 oz gastrograffin and 3oz water/barium mixture) 30 minutes prior to scanning, the small bowel
can be outlined as loops containing contrast.
colon Col on GI * Large bowel continuing where the AnoRectumSig contour ended.Depending on the volume treated, this will include portions or all of the
ascending, transverse, descending and sigmoid colon.
*Stop contouring the BowelBag, SmallBowel, and Colon 1 cm above PTV for most coplanar beam plans, but the choicewill depend on the treatment technique. Stop these PTVs at distances much greater than 1 cm for non-coplanar beam
plans depending on the beam angle and path. Tomotherapy plans will require stopping from 1 to 5 cm above the PTV,
depending on the selected field size, which is often 2.5 cm.
GI
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Organ Standardized
TPS Name
Tumor
Category
Consensus Definition
anus +
rectum +
rectosigmoid
(target)
AnoRect umSi g GI Target structure. Inferiorly from the anal verge as marked with aradiopaque marker at time of simulation. Contouring ends superiorly at
the rectosigmoid flexure after the mesorectum disappears. The
AnoRectumSig is used with the Small Bowel and Colon.
mesorectum
(target)
Mesor ect um GI Target structure for anal and rectal cancer. The rectum inferiorly belowwhere the mesorectal fat disappears, and continuing superiorly and
encompassing the mesorectal fat until the mesorectal fascia disappears.
For these entities, the AnoRectoSig (anus + rectum + rectosigmoid),
unlike the rest of the alimentary canal, is NOT an avoidance structure.
In cases where it is difficult to visualize the mesorectum, the
anatomical borders of the mesorectum include: cranial, the level of the
recto-sigmoid junction; caudal, the anorectal junction defined by where
the levator muscles fuse with the external sphincter muscles (or where
the mesorectal fat/space can no longer be seen tapering inferiorly);
posterior, pre-sacral space; anterior, GU/GYN organs with an internal
margin of 10 mm to the anterior mesorectal border on the axial slicesof the bladder to account for bladder volume variation on this
boundary; lateral-medial edge of the levator ani in the lower pelvis and
pelvic brim in upper (excluding any non-target muscle).
Tip: Adjusting the windowing level may facilitate visualizing the
mesorectum.
GI - target
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Sagittal
Small Bowel
AnoRectumSig
Colon
UteroCervix
Bladder
Sigmoid
AnoRectum
BowelBag
UteroCervix
Bladder 6
Contour BowelBag, Colon and SmallBowel the
recommended cm above PTV, not necessarily this high
subtract any
overlappingnon-GI
normal
structures
from
BowelBag
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Coronal
Sigmoid
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
7
Any sigmoid adjacent
or above the uterus or
a brachytherapy
applicator should becontoured.
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
Axial
8
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
9
It is an excellent habit to always use the standardized nomenclature,
even if the patient is not in a protocol
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
10
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
A radiopaque marker would
have helped better identify the
anal verge
11
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
12
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
13
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
14
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
15
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
lowest level of ischial
tuberosities, this is where
Femur_L and Femur_R start
16
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
17
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
18
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
19
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
20
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
21
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
22
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
23
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
24
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
25
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
26
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
27
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
28
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
30
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
31
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
32
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
33
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
34
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
35
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
36
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
38
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
39
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
40
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
41
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
42
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
43
this is also part of Femur_L
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
44
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
46
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
47
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
48
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
49
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
50
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
51
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
52
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
53
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
54
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
55
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
56
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
57
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
58
BowelBag starts Inferiorly
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
59
from the most inferior small
or large bowel loop, or
above the Rectum (GU) or
AnoRectum (GYN),
whichever is most inferior. In
this case the large bowel
(see Colon below) is most
inferior.
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
AnoRectum stops here
since this is the last cut ithas a round shape
60
If the AnoRectum (GYN) or
Rectum (GU) is present in a
BowelBag axial slice, it
should be included as part of
the bag; otherwise it should
be excluded.
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
rectum becomes
elongated as it connects
anteriorly with the
rectosigmoid
61
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
62
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_LFemur_R
Adnexa_R
Adnexa_L
Bladder
UteroCervix, Bladder,
Adnexa_R, and Adnexa_L
excluded from BowelBag
63
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GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
Any Sigmoid adjacent or
above the uterus or a
brachytherapy applicator
should be contoured
64
7/22/2019 Female Pelvis Normal Tissue Rtog
65/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
65
7/22/2019 Female Pelvis Normal Tissue Rtog
66/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
66
7/22/2019 Female Pelvis Normal Tissue Rtog
67/129
7/22/2019 Female Pelvis Normal Tissue Rtog
68/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
68
7/22/2019 Female Pelvis Normal Tissue Rtog
69/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
69
7/22/2019 Female Pelvis Normal Tissue Rtog
70/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
70
7/22/2019 Female Pelvis Normal Tissue Rtog
71/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
71
G
7/22/2019 Female Pelvis Normal Tissue Rtog
72/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
72
GYN
7/22/2019 Female Pelvis Normal Tissue Rtog
73/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
UteroCervix
Bladder
UteroCervix
73
GYN
7/22/2019 Female Pelvis Normal Tissue Rtog
74/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
74
GYN
7/22/2019 Female Pelvis Normal Tissue Rtog
75/129
GI:
Small Bowel
AnoRectumSig
Colon
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
75
GYN Stop contouring Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
76/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
Stop contouring Sigmoid
prior to connecting to the
ascending colon laterally
76
GYN
7/22/2019 Female Pelvis Normal Tissue Rtog
77/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
77
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
78/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
78
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
79/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
79
GYN:The BowelBag is bounded by the
7/22/2019 Female Pelvis Normal Tissue Rtog
80/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
muscles and bone.
80
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
81/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
81
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
82/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
Ascending Colon
Descending Colon
82
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
83/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
83
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
84/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
84
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
85/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
85
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
86/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
86
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
87/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
87
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
88/129
GI:
Small Bowel
AnoRectumSig
Colon
GYN:
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
88
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
89/129
GI:
Small Bowel
AnoRectumSig
Colon
G
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
89
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
90/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
90
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
91/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
91
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
92/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
92
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
93/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
93
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
94/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
94
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
95/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
95
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
96/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
96
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
97/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
97
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
98/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
98
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
99/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
99
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
100/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
100
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
101/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
101
GYN:
7/22/2019 Female Pelvis Normal Tissue Rtog
102/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
102
GYN:
d
7/22/2019 Female Pelvis Normal Tissue Rtog
103/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
103
GYN:
Si id
7/22/2019 Female Pelvis Normal Tissue Rtog
104/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder
104
GYN:
Si id
7/22/2019 Female Pelvis Normal Tissue Rtog
105/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
105
7/22/2019 Female Pelvis Normal Tissue Rtog
106/129
GYN:
Si id
7/22/2019 Female Pelvis Normal Tissue Rtog
107/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
107
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
108/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
Transverse Colon
108
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
109/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
109
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
110/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
110
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
111/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
111
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
112/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
112
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
113/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
113
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
114/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
114
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
115/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
115
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
116/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
116
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
117/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
117
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
118/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
118
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
119/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
119
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
120/129
GI:
Small Bowel
AnoRectumSig
Colon
Sigmoid
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
120
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
121/129
GI:
Small Bowel
AnoRectumSig
Colon
g
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
121
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
122/129
GI:
Small Bowel
AnoRectumSig
Colon
g
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
122
7/22/2019 Female Pelvis Normal Tissue Rtog
123/129
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
124/129
GI:
Small Bowel
AnoRectumSig
Colon
g
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
124
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
125/129
GI:
Small Bowel
AnoRectumSig
Colon
g
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
125
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
126/129
GI:
Small Bowel
AnoRectumSig
Colon
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
126
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
127/129
GI:
Small Bowel
AnoRectumSig
Colon
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
127
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
128/129
GI:
Small Bowel
AnoRectumSig
Colon
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder
128
GYN:
Sigmoid
7/22/2019 Female Pelvis Normal Tissue Rtog
129/129
GI:
Small Bowel
AnoRectum
BowelBag
GYN/GI:
UteroCervix
Femur_L
Femur_RAdnexa_R
Adnexa_L
Bladder