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Initial strategy plan selection: straightforward
•
Only 1 CT scan – no extreme bladder/rectum fillings
•
No need of algorithm
But personally, concerns:
•
More complex target definition target volume compared to
bladder and cervix?
•
Larger patient numbers – more RTTs to be trained
•
Dosimetric benefit given anatomy of target and OAR
Implementation strategy:
Observer study to assess feasibility and support training and
implementation (large number RTTs) *
Dosimetric study to assess dose to OAR **
Implementation Strategy
*de Jong et al.(2016), Radiother. Oncol.
**Lutkenhuis et al. (2016), Radiother. Oncol.