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This is where adaptive RT comes in!

planning

CT

(IMRT)

plan

Fx

2

Fx

1

Fx

N

use of margins!

assumptions or knowledge

Fx

i

some kind

of imaging

IGRT

ESTRO IMRT course 2016

Adaptive Radiotherapy

London April 7th, 2016

-12-

about

population-based

uncertainties

“Feedback-loop”!

This makes it ‘adaptive RT’!

estimation/modeling

of errors/uncertainties

setup correction,

new margin&plan etc.

patient individual

uncertainties (setup errors,

organ motion…)