ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Question

Special thanks to:

 Josien de Bois  Lambert Zijp  Joop Duppen  Simon van Kranen  Joos Lebesque  Caro Koning  Peter de Boer  Maarten Hulshof  Monique Bloemers  Michiel van den Brekel  Fons Balm  Ludy Smeele  Dept. RT AMC en AvL  And many Others………

 Marcel van Herk  Jan-Jakob Sonke  Peter Remeijer  Danny Minkema  Rianne de Jong  Suzanne van Beek  Jasper Nijkamp  Anja Betgen  Monique Smitmans  Harry Bartelink  Olga Vrieze  Frank Hoebers

 Is there clinical evidence for the usefullness of adaptive RT?  Yes and no  Yes:

 Less irradiation reduces toxicity in earlier efforts in shrinking the irradiated volume (plan of the day, expected changes)  Adaptation is a QA instrument (plan of the day, unexpected changes)  No:  No randomized trials performed, therefore no information on safety available  Replanning on tumor regression is not advised unless obvious borders

Radiotherapy

Radiotherapy

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