IMRT

Patterns of local failure

In Field

Marginal

Lymph nodes (2/22)

0

2

Liver and lung (25/64) Other (3/19)

13

12

2

1

lymph nodes

liver/lung

(MVA p = 0.01)

Individual motion management + Dose escalation

Van den Begin et al, Radiother Oncol 2014

22

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