IMRT

Case 1: 54 year old patient with lungmetastasis

2007: Primary sigmoid cancer 2010: lung + livermetastasis => chemotherapy 2011: resection liver + lungmetastasis 2011: RT 42 Gy (15x 2.8 Gy) thoracic wall 2012: lungmetastasis in right inferior lobe, referred for SBRT 10 x 5 Gy Motion: Amplitude CC of 4 mm in 4D CT

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