Pre Treatment
CT Simulation
Slice thickness
– Accurate delineation
– Accurate dose calculation
– Improved DRR resolution
– 2.5-3.0mm
Registration of diagnostic imaging
Contrast
IV
No pre contrast scan
Bolus
Scan with bolus on
Planning
3DCRT
IMRT
VMAT
Beware the steep dose gradients
Shoulders
Avoid?
Standard for this
patient group