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ESTRO IMRT course 2015

Adaptive Radiotherapy

Brussels October 8th, 2015

-27-

S. S. Park et al. 2012: Adaptive Image-guided Radiotherapy (IGRT) Eliminates

the Risk of Biochemical Failure Caused by the

Bias of Rectal Distension

in

Prostate Cancer Treatment Planning: Clinical Evidence.

IJROBP 83(3)

NKI-AVL dose escalation study,

no margin adaptation

(1cm, 0-5mm for

boost):

W. Heemsbergen et al. 2007: Increased risk of Biochemical and clinical failure

for prostate patients with a

large rectum at radiotherapy planning

: results from

the dutch trial of 68 Gy versus 78 Gy.

IJROBP 67(5)

What are the clinical benefits?

…versus clinical long-term follow-up results of Beaumont offline ART: