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Treatment Planning:
• Pre-Treatment evaluation:
– PET/CT (never used for image fusion)
– Pulmonary function tests
– Biopsy proven malignancy (2/3)
• Imaging: CT scan, supine position, arms along torso
• No‖strong‖ immobilization !!
• Contouring:
– GTV directly contoured in pulmonary CT window
– GTV to PTV expansion: 5 mm in all directions
– OARs: lungs, heart, esophagus, trachea, spinal cord,
pacemaker