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ESTRO IG and Adaptive

Course Parikh Budapest 2018

Plan selection for rectum cancer with variable margins for

upper mesorectum for first 20 patients:

Both sets of margins used

Majority of patients needed multiple margins

Limited influence of intra fraction motion

Good consistency in weekly review

No errors between imaging and management system

Limited delay remains due to anatomy on CBCT

- Successfully and safely implemented! -

Plan of the day rectum - Summary

Slides courtesy of

R de Jong