ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Tenets of pancreas plan adaptation

Day 1

• It is not a library of plans approach • Isotoxicity approach • It does not involve resegmentation of the pancreas tumor; we are bad at that! • Adaptation is focused on the high dose

Stomach

Duodenum

Pancreas

Small intestine

Day 2

Stomach

Duodenum

Pancreas

gradient overlap of the critical GI organs at risk

Small intestine