ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

What next?

 How to deal?

– Lower the target dose – Fractionate more – Decrease you CTV-PTV margin – Local guided setup

Conclusions

Special thanks to:

 Marcel van Herk  Jan-Jakob Sonke  Corine van Vliet  Peter Remeijer  Danny Minkema  Rianne de Jong  Suzanne van Beek  Rajko Topolnjak  Jasper Nijkamp  Eugene Damen  Maddelena Rossi

 Anja Betgen  Jose Belderbos

– Target volume delineation remains  Talk to eachother! – Patient is more flexible than one margin can cover

 Jochem Wolthaus  Monique Smitmans  Floris Pos  Josien de Bois

– 2D registration detects less than 3D – Try to optimise the patients position

 Lambert Zijp  Joop Duppen

 Simon van Kranen  Angelo Mencarelli  Joos Lebesque  And many Others………

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