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Hybrid study:

SBRT with concurrent chemoradiation

Treatment planning and delivery

2 isocentres and 2 dual VMAT arcs

Compensation for indirect lymph node (LN)

dose to primary tumour (PT): the biological

equivalent of the minimal dose (D99) to the PT

PTV from LN irradiation was subtracted from

the biological prescribed dose to the PTV.

Chemotherapy consisted of daily low dose

Cisplatinum 6 mg/m

2

PT: 3 x 18 Gy (purple)

LN: 24 x 2.42 Gy (pink)

Courtesy of J. Belderbos