Course book Advanced Treatment Planning 2018

Summary

▪ Frequent soft-tissue imaging provides feedback & and opportunity to adapt to changing conditions

▪ On-line correction combined with off-line adaptation is desirable, but may not be sufficient

▪ Adaptive schemes may permit PTV margin reduction, and other opportunities to improve treatment: ▪ Assure minimum target dose ▪ Spare more normal tissue volume

▪ Do not trust dose accumulation