ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Phase I Trial Example Case

Solitary NSCLC Adrenal Metastasis

SB non- adaptive

PTV non- adaptive

PTV adaptive

Stomach non-adaptive

SB adaptive

Stomach adaptive

Adaptive plan reduces small bowel and stomach dose PTV coverage minimally sacrificed PTV coverage remains at goal 50Gy

Henke et al, ASTRO 2016

ESTRO IG and Adaptive Course Parikh Budapest 2018