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How to deal with counturing?

1. Elapsed time Prep/Tx as short as possible

2. Consult the radiologist / Nuclear medicine physician

3. Follow guidelines / protocols

4. Follow consensus (local - natl. – internatl.)

Use standardised terms (unambiguous – understandable)

5. Practicalities

Adequate clinical work-up (Complete staging)

• Included physical exam

Supervise thoroughly image acquisition (position, scanning protocol,

contrasts,…)

Before start contouring…

• Room darkened

• High-quality screen for side-by-side reviews of diagnostic images

• Appropriate zooming

Get your contours reviewed by a senior

BTV?

GTVpet