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Pelvic OARs constraints: genitals

- Dose to penile bulb/structures involved in erection

- Role of IGRT to reduce caudal margins in lower tumors

- Space for PB-sparing techniques with IMRT ?

MRI Prostatic apex + IGRT

with reduced margins,

resulting in rare overlap

between PTV and PB !

03/01/13

Landoni 2016

prostate ca pts, patient-reported impotence