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Adaptive radiotherapy

Ongoing monitoring of position and anatomy during

treatment, comparison with initial conditions.

Strategy for design or modification of treatment to

accommodate changes.

Patient-specific, image driven.

Desirable to base decisions on dosimetric impact of

changes.

4

CBCT

CT

Can we use CBCT to

calculate dose actually

delivered, compared with

that planned?

Assess current suitability

of treatment plan.