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HYBRID study

of hypofractionated Bladder Radiotherapy

with or without Image guided aDaptive planning

A multicentre randomised phase II study

51

Group 1:

Standard planning (control)

Planning CT scan post void. Clinical target

volume (CTV): whole bladder plus any area of

extravesical spread.

One 3D conformal plan will be generated with

1.5cm expansion margin.

Pre-treatment Cone Beam CT will be used to

verify CTV coverage.

Group 2:

Adaptive planning (experimental)

Planning CT scan post void.

CTV: whole

bladder plus any area of extravesical spread.

Three 3D conformal plans will be generated:

1. Small; 2. Medium; 3. Large

Pre-treatment Cone Beam CT will be used to

select appropriate plan, this will be confirmed

by a second trained observer.

RANDOMISE

1:1