ASMR

How to deal with changing anatomy?*

• Call doctor before treatment  Change in atelectases

 GTV and/or CTV outside PTV

• Contact doctor that day or the day after  Mild tumor progression  Tumor regression • Contour changes (physicist)  >2 cm  >1cm H&N and extremities

*Inspired by: INTRA THORACIC ANATOMICAL CHANGES FOR LUNG CANCER PATIENTS DURING THE COURSE OF IRRADIATION: HOWTO RESPOND? S. Conijn 1 , J. Belderbos 1 , J. Knegjens 1 , M. Rossi 1 , J. J. Sonke 1 , P. Remeijer 1