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How to deal with changing anatomy?*

Call doctor before treatment

Change in atelectases

GTV and/or CTV outside PTV

Contact doctor that day or the day after

Mild tumor progression

Tumor regression

Contour changes (physicist)

>2 cm

>1cm H&N and extremities

*Inspired by:

INTRA THORACIC ANATOMICAL CHANGES FOR LUNG CANCER PATIENTS DURING THE

COURSE OF IRRADIATION: HOWTO RESPOND?

S. Conijn

1

, J. Belderbos

1

, J. Knegjens

1

, M. Rossi

1

, J. J. Sonke

1

, P. Remeijer

1