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Second solution:

Same dose prescription

D

Daily enema

D

Dose distribution related

to gas

First solution:

Larger PTV margin

D

Larger amount of

surrounding tissue

irradiated

D

Lower dose escalation

72-74Gy?

D

Dose in the air

Third solution:

IG-Adaptive IMRT

D

Time consuming

D

High workload

Which ‘daily’ solution could account for mobile gas?