ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

At Rigshospitalet

For all locally-advanced NSCLC patients

3D PET/CT with IV contrast 4D CT + short breath hold CT Contrast if central tumour

Visual review of the 4D CT (by a dosimetrist): if < 5mm peak-to-peak motion, plan on the PET/CT, where contouring is most reliable if > 5 mm peak-to-peak motion : MidVentilation

Occasional use of the ITV approach (e.g. if too many artifacts)