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Multiple initial imaging and daily CBCT
Cervical cancer – schedule and results from the Rotterdam Cervix Group
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Establish predicted uterus motion based on full and empty bladder scan
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Define patient as Large uterine motion OR Small uterine motion
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Large movers: 2 IMRT/VMAT plans, 1 robust back up plan
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Small movers: 1 IMRT/VMAT plans, 1 robust back up plan
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CBCT at every fraction – select IMRT/VMAT plan or robust back up if
uncertain target coverage (only 15%)
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Verify on implanted markers
Heijkoop et al. IJROBP 2014