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3-D / 4-D IGRT

Preferred for tumours close to organs at risk

Mobile tumours (4

th

dimension is time) e.g. lung, lower

oesophagus, liver

Valuable for target volumes prone to changes in size and shape

e.g. bladder, prostate, lung

Essential for soft tissue tumours surrounded by soft tissue e.g.

pancreas

Essential for extra-cranial stereotactic XRT

May enable reduction in planning margins which may improve

treatment outcome and prognosis.