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Tumour Shrinkage and Weight Loss

A lot of literature!!!

Every patient is individual

RTTs treat them and can see these subtle changes

Dosimetric (and clinical) impact will depend on original DVH

results

Without 3D imaging, you cannot accurately visualise or

account for this

“The dosimetric impact of anatomic changes during

radiotherapy was of lesser importance than the effects of

IGRT repositioning”

(Graff et al., 2012)