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Image guided Adaptive RT

= modify treatment plan due to anatomical (or physiological) changes

(IGRT

: acquire image

(rigid) registration

move isocenter/table)

RESEARCH

Offline ART

Online ART

adapt treatment plan (re-contour & -plan)

between fractions

• choose plan from “library”

plan of the day

• adapt plan “online”

(while patient on treatment table)