ASMR 2017

Implementation Strategy

Initial strategy plan selection: straightforward • Only 1 CT scan – no extreme bladder/rectum fillings • No need of algorithm But personally, concerns: • More complex target definition target volume compared to bladder and cervix? • Larger patient numbers – more RTTs to be trained • Dosimetric benefit given anatomy of target and OAR Implementation strategy:  Observer study to assess feasibility and support training and implementation (large number RTTs) *  Dosimetric study to assess dose to OAR **

*de Jong et al.(2016), Radiother. Oncol. **Lutkenhuis et al. (2016), Radiother. Oncol.