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Tumour Shrinkage and Weight Loss

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A lot of literature!!!

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Every patient is individual

RTTs treat them and can see these subtle changes

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Dosimetric (and clinical) impact will depend on original DVH

results

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Without 3D imaging, you cannot accurately visualise or

account for this

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“The dosimetric impact of anatomic changes during

radiotherapy was of lesser importance than the effects of

IGRT repositioning”

(Graff et al., 2012)