949 / 1068
Conclusive remarks
- IMRT should be «mandatory»
(better sparing of OARs, better conformation)
- Quite strong evidence of clinical benefit using IMRT
- Rotational IMRT (VMAT/IMAT/RA…., Tomo) highly
effective and fast, better conformality and, sometime,
better OAR sparing
- Potential of IMRT not yet fully assessed, in particular
for improving the sparing of genitals and bone marrow
(a Phase II trial in progress)
- Skin toxicity could be reduced (very sensitive to
CTV/PTV definition, planning strategies)
- IGRT /ART (?)