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Techniques for external beams optimization (mainly focused on long

course…no bracky, no inoperable advanced disease):

o

3DCRT

o

IMRT (vs 3DCRT)

o

Rotational techniques (IMAT/VMAT, Tomotherapy)

o

Sequential and simultaneous boosting

Summary

o

IGRT and potentials for plan adaptation

o

Sparing bowel and bladder

o

Sparing bone marrow (haematological tox)

o

Sparing genitalia

o

Conclusive remarks

Short critical (rectal ca -

oriented) summary, of

pelvic OARs constraints