ESTRO SBRT course Sept 2015
The treatment chain
Patient
immobilization &
positioning
Imaging
Delineation
Treatment
planning
Data transfer
Treatment
delivery
Image
registration
+
Hybride
BlueBag
Diameter tumour
Dose
≤ 20 mm:
1 x 2200 cGy
21-30 mm:
1 x 1900 cGy
31-35 mm:
1 x 1700 cGy
36-50 mm or close
to OAR
3 x 800 cGy
with
Patient QA
measurement
•
Delineation GTV and OAR on MRI
•
CTV = GTV, PTV = CTV + 3mm
VMAT planning
•
1 dual arc per isoc
•
98% of PTV should get at least 95% of prescribed dose
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