1648-1649 / 3581
ESTRO IG and Adaptive
Course Parikh 25.10.2016
Adaptive Workflow
Simulation /
Planning
• MR compatible
immobilization
• CT + MR
Localization
• Daily high
resolution MR
• Deformable
registration
• Contours
• Electron
density
Dose
prediction
• Manual edits to
OARs / targets if
necessary
• Eval initial plan
on daily anatomy
Adapt ???
• If anatomy and
plan stable, tx
w/initial plan
• If anatomy or
dose different,
adapt