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Multiple initial imaging and daily CBCT

Cervix cancer irradiation, the problem is!

Full bladder a treatment planning, empty bladder at teatment (

Green

contouring

)

Red contour is cervix and uterus at planning

,

Blue contour is PTV-T

,

Orange contour cervix and uterus at

treatment

, we missed part of the target!

Sometimes the recto-sigmoid filling is the bigger problem