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3. Image Guided Radiotherapy Treatment

with Cone-Beam-CT at Linac for margins reduction

1. Use of 4D-CT

: accounting for

tumor motion during breathing

2. GTV-Definition

: minimization

based on functional Imaging

(PET-CT) and shift to smaller

CTV volumes

Cutting edge Radiotherapy in Lung Cancer

2. Treatment Planning

: IMRT based

on Monte-Carlo Dose calculation (dose-

painting)

Suboptimal Positioning

Optimal Positioning