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Prostate Adaptive Radiation Therapy

Planning CT 10

mm margin

(7 mm also OK)

Re-plan using average prostate

& rectum 7 mm margin

first 6 days

weekly monitoring treatment

cone beam CT

cone beam CT

Margin derived from simulation with follow-up CT data

of 19 patients (11 scans per patient)*:

Identical results (good target coverage and rectum sparing) for:

Average prostate + 7 mm

chosen

Convex hull of all prostates + 4 mm

Nuver et al, IJROPB 2007