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CTV_hull = hull of 3-5 prostate contours

(planning CTV and first days of

treatment)

PTV = CTV_hull + patient-individual margin,

adapted according to setup errors

measured during first 5 fractions

(~5mm)

The Beaumont offline adaptive RT approach:

Eliminate systematic errors of the organ geometry!

ESTRO IMRT course 2016

Adaptive Radiotherapy

London April 7th, 2016

-25-

alternative approach:

constraints to Rectum_hull = hull of 3-5 rectum

contours, no PRV margin

corresponding rectum contours of the first

3-5 treatment days;

Beaumont approach: dose constraint to

rectal-wall structure as in planning CT