2798-2799 / 3581
Bladder too small
Small plan provides appropriate coverage of
bladder but normal tissue sparing from high
dose region compromised
Significant shape change
Appropriate to consider treatment with small plan
Requires clinical review prior to next fraction.
Assessment :-
i) general hydration status
ii) development of urinary toxicity requiring intervention
(preventing from appropriate holding)
iii) increasing time to image acquisition>30mins and, or
iv) increasing volume of fluids in drinking protocol