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ESTRO IG and Adaptive

Course Parikh Athens 2017

Impact on dose to the rectum and CT/MRI

delineation of the prostate

Differences in target results in increased therapeutic ratio. This can be used in

two ways:

Prostate dose 78 Gy (5 mm ctv-ptv margin)

EUD rectum 68 Gy is reduced to 62 Gy

If EUD 68 Gy is acceptable (5 mm margin)

Dose prostate 78 Gy is increased to 85 Gy