ESTRO course on Image Guided Radiotherapy in Clinical Practice 2018

•70-year old patient

with poor pulmonary

function

•Tumour motion <

5mm

•MLD unacceptable if

a curative dose (66Gy)

is delivered

•Gating won’t help

(neither will tracking!)

Challenge 3: large tumours / small lung volume

Slides courtesy of Mirjana Josipovic