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Take Home Message

• Inter-observer & Intra-observer variability

– Remains a significant factor

– Can be reduced by better imaging

• Gold standard for pelvic imaging

– Diagnosis: MRI

– TVD: MRI (co-registration where possible)

• RTP

– Still mainly CT based & is a limitation

– Ideally CT-MRI image registration but if not then ‘cognitive’ or ‘eye-ball’ method

• Issues

– Accuracy/Reliability of image registration

– 4D effects