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ICRU on Adaptive RT

GTV-T (CT, 0Gy)

CTV-T+N (MRI-T2, 0Gy)

GTV-T (CBCT, 30Gy)

Developments in coming years will

hopefully indicate which outcomes

might benefit from 4D treatment

planning and adaptive changes.

However, they will dramatically expand

the complexity of tissue delineation

(often called segmentation), absorbed-

dose specification, and dose reporting.