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Room for IGRT in rectal cancer?

Pros=

-Large prostate movements correlated w/ the

rectum in prostate ca+++

- IMRT useful (tighter gradient)

- Might become mandatory in a ‘Wait and see‘

scenario (with a boost to the tumor)

Cons=

- Low total dose 45/50Gy over 5w

- Large CTV w/ENI

- Local failure rates <10% after surgery

03/01/13