ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

ESTRO IG and Adaptive Course

Parikh Budapest 2018

Solitary NSCLC Adrenal Metastasis

Phase I Trial Example Case

PTV non-

adaptive

PTV

adaptive

SB non-

adaptive

SB adaptive

Stomach adaptive

Stomach

non-adaptive

Adaptive plan reduces small bowel and stomach dose

PTV coverage minimally sacrificed

PTV coverage remains at goal 50Gy

Henke et al, ASTRO 2016