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Nominal PTV (5mm PTV)

Nominal CTV (0mm PTV)

Dose Reconstruction in Changing Organs

66Gy

54Gy

51Gy

45Gy

26Gy

10Gy

axial

sagittal

Accumulate dose for 30 fractions

Correct Onli e – Accu ulated PTV

Correct Online - Adaptive CTV