8
Radiotherapy
Question
Is there clinical evidence for the usefullness of adaptive RT?
Yes and no
Yes:
Less irradiation reduces toxicity in earlier efforts in shrinking
the irradiated volume (plan of the day, expected changes)
Adaptation is a QA instrument (plan of the day, unexpected
changes)
No:
No randomized trials performed, therefore no information on
safety available
Replanning on tumor regression is not advised unless
obvious borders
Radiotherapy
Special thanks to:
Marcel van Herk
Jan-Jakob Sonke
Peter Remeijer
Danny Minkema
Rianne de Jong
Suzanne van Beek
Jasper Nijkamp
Anja Betgen
Monique Smitmans
Harry Bartelink
Olga Vrieze
Frank Hoebers
Josien de Bois
Lambert Zijp
Joop Duppen
Simon van Kranen
Joos Lebesque
Caro Koning
Peter de Boer
Maarten Hulshof
Monique Bloemers
Michiel van den Brekel
Fons Balm
Ludy Smeele
Dept. RT AMC en AvL
And many Others………