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Implications for treatment

40

Increasing use of

FDG PET/CT

Multiparametric MRI

Image-guided US-FNA

Will lead to changes in RT

High-dose:

Target definition and tumor load

Elective dose:

Target definition and tumor load

Dose levels:

Dose reductions and new levels

Chemotherapy:

Changing patient selection

Will lead to changes in surgery

Lower chances on positive nodal dissections

Lower chances on positive SN procedures