Original ITV, mitigation & residual ITV
Moving
target
Organ at
risk
4D
CT
IT
V
Hold breath
Gating
Compressio
n
Coaching, …
GTV
CTV
PTV
Residual
movement
(adapted from Håkan
Nyström)
à
Evaluate the amount of movement, adopt a technical approach to mitigate, re-
evaluate