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Multiple initial imaging and CBCT

Bladder cancer irradiation, the clever solution is!

Create a plan library with plans for different bladder volumes

Small, medium, large

Can be done

at treatment planning with several planning scans

difficult to plan more than ‘full bladder’ and ‘empty bladder’

at treatment planning with expanding margins simulating

Small, Medium, and Large bladder size

by using CBCT from treatment fractions to make different plans