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Adaptive RT - practical considerations
Imaging dose - may limit imaging frequency.
Limited quality/information of CBCT image.
One image is only a snapshot – how representative is the
assessment?
Time is required to respond to changes:
Time for image review and assessment;
Availability of clinician;
Time for rescan, recontour, replan, review, plan QA.
Take into account time through treatment course when
assessing dosimetric impact.
Dose accumulation?