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Adaptive planning solutions
Plan of the day
Library of plans based on
i)Variable margins around empty
bladder
i)Patient's own bladder filling (and
variable margins)
Hafeez S et al: Prospective Study Delivering Simultaneous Integrated High-dose Tumor Boost (≤70 Gy) With Image
Guided Adaptive Radiation Therapy for Radical Treatment of Localized Muscle-Invasive Bladder Cancer.
International Journal of Radiation Oncology*Biology*Physics 2016, 94(5):1022-1030.
Lalondrelle S, et al. Adaptive-predictive organ localization using cone-beam computed tomography for improved
accuracy in external beam radiotherapy for bladder cancer. Int J Radiat Oncol Biol Phys 2011, 79(3):705-712.
McDonald F et al: Clinical implementation of adaptive hypofractionated bladder radiotherapy for improvement in
normal tissue irradiation. Clin Oncol (R Coll Radiol) 2013, 25(9):549-556
variable margin used to create 3 PTV contours (
small
,
medium
,
large
)
from which library of 3 plans created
Planning CT