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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
1
GYN
Organ Standardized Tumor Consensus Definition
TPS Name Category
anus + AnoRectum GYN Inferiorly from the anal verge as marked with a radiopaque marker at the
rectum time of simulation. Contouring ends superiorly before the rectum loses its
round shape in the axial plane and connects anteriorly with the sigmoid. The
AnoRectum is used with the Sigmoid and BowelBag.
sigmoid Sigmoid GYN Bowel continuing where the AnoRectum contour ended. Stops prior to
connecting 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 BowelBag GYN Inferiorly from the most inferior small or large bowel loop, or above the
Rectum (GU) or AnoRectum (GYN), whichever is most inferior. If when
following 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. Stop 1 cm above the PTV.

Tips: Contour the abdominal contents excluding muscle and bones with a
single sweep of the mouse. 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.

2
GYN/GI
Organ Standardized Tumor Consensus Definition
TPS Name Category
bladder Bladder GYN, GI Inferiorly from its base, and superiorly to the dome

uterus + UteroCervix GYN The uterus and cervix as one structure. Tip: Fuse with MRI to help identify
cervix it.
ovaries + Adnexa_R GYN Right and left ovary and fallopian tube. Tip: Fuse with MRI to help identify
fallopian Adnexa_L these.
tubes
proximal Femur_R GYN, GI The proximal femur inferiorly from the lowest level of the ischial
femurs Femur_L 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.

3
GI
Organ Standardized Tumor Consensus Definition
TPS Name Category
small bowel SmallBowel 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 3
oz water/barium mixture) 30 minutes prior to scanning, the small bowel
can be outlined as loops containing contrast. Stop 1 cm above the PTV.
colon Colon 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 1 cm above the
PTV.

4
GI - target
Organ Standardized Tumor Consensus Definition
TPS Name Category
anus + AnoRectumSig GI Target structure. Inferiorly from the anal verge as marked with a
rectum + radiopaque marker at time of simulation. Contouring ends superiorly at
rectosigmoid the rectosigmoid flexure after the mesorectum disappears. The
(target) AnoRectumSig is used with the Small Bowel and Colon.
mesorectum Mesorectum GI Target structure for anal and rectal cancer. The rectum inferiorly below
(target) where 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 slices
of 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.

5
Contour BowelBag, Colon and SmallBowel 1 cm
above PTV, not necessarily this high

Sagittal

subtract any
overlapping
non-GI
normal Sigmoid
Small Bowel
structures
AnoRectumSig from
AnoRectum
Colon BowelBag BowelBag
UteroCervix UteroCervix
Bladder Bladder 6
Any sigmoid adjacent
Sigmoid or above the uterus or
a brachytherapy
UteroCervix
applicator should be
Femur_L contoured.
Femur_R
Adnexa_R
Adnexa_L
Bladder

Coronal

7
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R Axial
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
8
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R It is an excellent habit to always use the standardized nomenclature,
even if the patient is not in a protocol
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
9
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
10
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
A radiopaque marker would
Adnexa_L
have helped better identify the
Bladder anal verge

GI:
Small Bowel
AnoRectumSig
Colon
11
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
12
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
13
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
14
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
15
GYN:
lowest level of ischial
Sigmoid
tuberosities, this is where
AnoRectum Femur_L and Femur_R start
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
16
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
17
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
18
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
19
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
20
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
21
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
22
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
23
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
24
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
25
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
26
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
27
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
28
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
29
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
30
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
31
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
32
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
33
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
34
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
35
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
36
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
37
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
38
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
39
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
40
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
41
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
42
GYN:
Sigmoid this is also part of Femur_L
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
43
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
44
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
45
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
46
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
47
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
48
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
49
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
50
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
51
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
52
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
53
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
54
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
55
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
56
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
57
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
58
BowelBag starts Inferiorly
GYN: from the most inferior small
Sigmoid or large bowel loop, or
above the Rectum (GU) or
AnoRectum
AnoRectum (GYN),
BowelBag whichever is most inferior. In
this case the large bowel
(see Colon below) is most
inferior.
GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
59
GYN: If the AnoRectum (GYN) or
Sigmoid Rectum (GU) is present in a
BowelBag axial slice, it
AnoRectum
should be included as part of
BowelBag the bag; otherwise it should
be excluded.

GYN/GI:
UteroCervix
AnoRectum stops here
Femur_L since this is the last cut it
Femur_R has a round shape
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
60
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

rectum becomes
GI: elongated as it connects
Small Bowel anteriorly with the
AnoRectumSig rectosigmoid
Colon
61
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
62
GYN:
Sigmoid
AnoRectum
BowelBag

UteroCervix, Bladder,
Adnexa_R, and Adnexa_L
GYN/GI: excluded from BowelBag
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
63
GYN:
Sigmoid
AnoRectum
BowelBag

Any Sigmoid adjacent or


above the uterus or a
brachytherapy applicator
GYN/GI: should be contoured
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
64
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
65
GYN:
Sigmoid
AnoRectum
BowelBag

GYN/GI:
UteroCervix
Femur_L
Femur_R
Adnexa_R
Adnexa_L
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
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

UteroCervix
GI:
Small Bowel
AnoRectumSig
Colon
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 oral contrast would have
Adnexa_R helped distinguish the small
Adnexa_L bowel from the colon
Bladder

GI:
Small Bowel
AnoRectumSig
Colon
75
GYN: Stop contouring Sigmoid
prior to connecting to the
Sigmoid
ascending colon laterally
AnoRectum
BowelBag

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
The BowelBag is bounded by the
muscles and bone. It is contoured with
GYN: one clockwise or counterclockwise
Sigmoid sweep of the mouse
AnoRectum
BowelBag

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 Ascending Colon
Adnexa_R
Adnexa_L Descending Colon
Bladder

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 Transverse Colon
Adnexa_L
Bladder

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

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