ASMR

Tumour Shrinkage and Weight Loss

• A lot of literature!!!

• Every patient is individual 

RTTs treat them and can see these subtle changes

• Dosimetric (and clinical) impact will depend on original DVH results

• Without 3D imaging, you cannot accurately visualise or account for this

• “The dosimetric impact of anatomic changes during radiotherapy was of lesser importance than the effects of IGRT repositioning” (Graff et al., 2012)