655 / 1068
Conclusive remarks
- 3DCRT and IMRT techniques offer good planning solutions
- IMRT should be preferred (better sparing of OARs, better
conformation)
- Risk of sub-optimal planning with IMRT, be careful….
- Rotational IMRT (VMAT/IMAT/RA…., Tomo) highly effective and fast,
better conformality and, sometime, better OAR sparing
- Constraints for OARs still poorly available (primarily for bowel, bone
marrow, genitals)….much to be done (need of studies correlating
prospective patient-reported outcomes/QoL scores vs dose-volume data)
- (Quantification of the impact of CHT poorly addressed)
- IGRT improves accuracy; potentials to reduce margins with the aim to
spare OARs in specific patients (i.e: sexual dysfunctions ?)
- Adaptive re-planning in its very early phase…