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Changes in anatomy over the course of treatment

10 H&N pts, IMRT

CTVs and OARs delineated on CBCT at the10

th

, 15

th

, 20

th

,

25

th

treatment session and then compared with the planning

CT

A statistically significant increase of larynx volume at the 20

th

and 25

th

CBCT was observed

The main benefit of replanning could be to preserve parotis,

not to reevaluate the target

Check point at the 3

rd

week of radiotherapy in this pts

cohort

(Cozzolino

et al

, 2014)