Target Volume Determination 2015

Metastasis Renal Cell Carcinoma

Response and treatment-induced changes

Planning

4 Months

7 Months

13 Months

18 Months

24 Months

Take home • CT as basis for morphology, – Good for T-stage – Well-known limitations, esp. N-stage – New: 4D-CT • MRI – Similar for morphology – Superior for heterogeneity, differentiation, function: Perfusion and motion • PET / CT – Best for N-stage

My tastes are simple: I like the best* CT unenhanced CT unenhanced + PET

Planning

3 Months

7 Months

* Oscar Wilde

CT contrast-enhanced

– Well-known limitations – Reimbursement issues

10 Months

13 Months

16 Months

s.delorme@dkfz.de, Radiology – E010, Imaging and Radiooncology