# Ep. 117 Radiation Therapy Advances for Gynecologic Cancers with Dr. Andrew Lim

Page: https://stenobird.com/podcast/backtable-women-s-health-5805654/ep-117-radiation-therapy-advances-for-gynecologic-cancers-with-dr-andrew-lim
Text version: https://stenobird.com/podcast/backtable-women-s-health-5805654/ep-117-radiation-therapy-advances-for-gynecologic-cancers-with-dr-andrew-lim.md
Podcast: [BackTable Women's Health](https://stenobird.com/podcast/backtable-women-s-health-5805654)
Published: 2026-05-19T07:00:00+00:00
Episode link: https://traffic.megaphone.fm/BTL2872868220.mp3
Audio file: https://traffic.megaphone.fm/BTL2872868220.mp3
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JSON: https://stenobird.com/v1/public/podcasts/backtable-women-s-health-5805654/episodes/ep-117-radiation-therapy-advances-for-gynecologic-cancers-with-dr-andrew-lim
Duration seconds: 3140

## Resource

"The treatment of cervical cancer is definitely a team sport." Hear how recent radiation advancements are impacting gynecologic cancer care, and how to partner with your radiation oncologist to tailor therapy. This BackTable Women’s Health / Tumor Board episode features hosts Dr. Mona Guo and Dr. Marcia Ciccone joined by USC radiation oncologist and brachytherapy director Dr. Andrew Lim discussing modern radiation techniques, indications for definitive/adjuvant therapy, and toxicity management in gynecologic cancers. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:39 - Modern External Beam IMRT05:47 - Planning With CT And AI08:14 - Daily Setup Imaging Workflow13:30 - Dose and Fractionation Basics18:50 - HDR Image Guided Brachy21:50 - Brachy Vs External Boost Evidence24:54 - Managing Side Effects and Menopause28:49 - Hormone Therapy Benefits30:37 - Dilators and Pelvic Rehab33:12 - Long Term Radiation Effects38:14 - Spacers and Prolapse Planning41:42 - Reirradiation and Plan Review44:05 - Palliative Radiation Choices46:50 - Gamma Knife Explained50:16 - Conclusion --- More about this episode Dr. Lim contrasts historical four-field box radiation with contemporary IMRT, CT-based planning, daily cone-beam verification, and AI-assisted contouring with dosimetrist support. They review pelvic radiation treatment timelines, emerging hypofractionation data, and the essential role of image-guided brachytherapy for cervical cancer, including outpatient workflows and improved tumor coverage with reduced bladder/rectum dose. The group covers patient counseling on expected side effects, radiation-induced menopause, fertility, sexual health, vaginal stenosis prevention with dilators/pelvic floor therapy, late effects, re-irradiation consider…

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## Transcript

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