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35

MR imaging and treatment planning for

every fraction?

Depends on local infrastructure

Important considerations regarding imaging:

MRI is more important in large tumors as compared to

tumours without parametrial infiltration

BT after major tumour shrinkage: 1

st

fraction MRI (or pre-BT

MRI), succeeding fractions can be done with CT

Complex BT applications (IC combined with IS) and/or

expected target shrinkage: repeated MRI and plan

adaptation are recommended