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GTV + corresponding mesorectum

Myerson et al IJROBP 2009

GTV-CTV margin

Wang et al. Int J Colorectal dis 2005

Microscopic

tumor deposits in the Mesorectum:

38%

Outer

Region of the Mesorectum:

25%

Distal tumor deposits

in the mesorectal fat

3 cm

from the cancer:

6.5%

Prevent target missing related to movement (ITV)