ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

Margins

• CTV Margins: less relevant - PTV always overlaps the GI OARs, so dose is limited by this proximity. • Creates a dose gradient that is adjusted by normal tissue position on daily basis

3 mm plan

5 mm plan

Stomach

Stomach

Duodenum

Duodenum

Pancreas

Pancreas

Small intestine

Small intestine

Made with FlippingBook - Online magazine maker