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With planned intervals - CBCT

Lung cancer irradiation, the problems numerous!

At planning

Boost volume based on functional imaging

Breathing influences sub-volumes differently

Upper vs. lower lobe tumours

Tumours vs. lymph nodes

Target vs. OAR (spinal cord)

Online imaging and matching

Bone vs. soft tissue/tumour

Interfraction variations

Atelectasis (and lung density changes)

Tumour shrinkage

Pleural effusion