IMRT Course 2016

Adaptive RT - practical considerations

Imaging dose - may limit imaging frequency. Limited quality/information of CBCT image. One image is only a snapshot – how representative is the assessment? Time is required to respond to changes: Time for image review and assessment; Availability of clinician; Time for rescan, recontour, replan, review, plan QA. Take into account time through treatment course when assessing dosimetric impact. Dose accumulation?