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ESTRO IG and Adaptive

Course Parikh 25.10.2016

70 year old with locally advanced bladder cancer,

not an operative candidate

RT to bladder and pelvic lymph nodes, 39.6 / 1.8

Gy fractions on conventional linac

RT boost to bladder 25.2 Gy / 1.8 Gy fractions

using Viewray

Initial Adaptive – Tumor based