Room for IGRT in rectal cancer?
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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)
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Cons=
- Low total dose 45/50Gy over 5w
- Large CTV w/ENI
- Local failure rates <10% after surgery
03/01/13