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Courtesy: Terezakis
Aggressive nodal NHL-
early stage
Principles of ISRT for Nodal Sites
•
CT or PET/CT information of pre-chemotherapy disease
(ideally in treatment position)
•
Planning requirements: CT-based simulation
•
Goal to target site of originally involved lymph node(s)
–
Field encompasses the original volume prior to surgery or
chemotherapy
–
Spares uninvolved organs once lymph node has regressed
–
Imaging modalities such as PET and MRI can enhance