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Margin reduction?

Not necessarily !

Hodgkin Lymphoma, considering daily CBCT and INRT

(PET/CT in treatment position)

Free breathing margins: 1cm all around

DIBH margins

3mm contouring uncertainty (systematic)

2 mm breath hold uncertainty (random)

3 mm image registration/ residual set up error (random)

Margins = 1 cm !!!

IGRT 2015 – M. Aznar

Work in progress, courtesy of

Laura Rechner, Rigshospitalet