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L01 Morphologic Imaging Techniques - Delorme
8

L02 Functional & Biological Imaging Techniques - Delorme
19

L03 ICRY 50, ICRU 62 and Beyond - Madani, Kunze-Busch and Remeijer
31

GTV, CTV and PTV(ICRU 62 + 83 and beyond) Neil Burnet
31

Slide Number 2
32

GTV, CTV and PTV
33

Learning Objectives
34

The history of radiotherapy
35

Slide Number 6
36

Imaging - technology advance
37

Target volumes
38

Target volumes
39

Target volumes
40

Target volumes
41

Target volumes
42

Target volumes
43

Target volumes - GTV
44

Target volumes - GTV
45

Target volumes - GTV
46

Target volumes - GTV
47

Slide Number 18
48

Slide Number 19
49

Slide Number 20
50

Slide Number 21
51

Slide Number 22
52

Target volumes - GTV
53

Target volumes - GTV
54

Target volumes - GTV
55

Target volumes - GTV
56

Improving concordance
57

Improving concordance
58

Improving concordance
59

Improving concordance
60

Quality of RT affects outcome
61

Quality of RT affects outcome
62

Target volumes - CTV
63

Target volumes - CTV
64

Target volumes - CTV
65

Target volumes - CTV
66

Target volumes - CTV
67

Slide Number 38
68

Slide Number 39
69

Target volumes - CTV
70

Target volumes - PTV
71

Target volumes - PTV
72

Target volumes - PTV
73

Target volumes - PTV
74

Target volumes - PTV
75

Target volumes - PTV
76

Target volumes - PTV
77

Target volumes – PTV
78

Target volumes – PTV
79

Target volumes
80

Target volumes – PTV
81

Target volumes
82

Target volumes – PTV
83

Target volumes – PTV
84

Target volumes – PTV - Adaptation
85

Slide Number 56
86

Target volumes – OARs + PRVs ( and RVR)
87

Slide Number 58
88

Target volumes – OARs
89

OARs
90

OARs
91

Target volumes - OARs
92

Target volumes – OARs
93

Target volumes – OARs
94

Target volumes – OARs + PRVs
95

Target volumes – PRV
96

 Tissue architecture
97

Target volumes – PRV
98

Target volumes – PRV
99

Target volumes – PRV
100

PRV
101

Slide Number 72
102

Slide Number 73
103

Slide Number 74
104

Slide Number 75
105

Slide Number 76
106

Target volumes – PTV + PRV
107

Target volumes – overlaps
108

Target volumes – overlaps
109

Slide Number 80
110

Slide Number 81
111

Slide Number 82
112

Target volumes
113

Slide Number 84
114

Slide Number 85
115

Target volumes – PTV / PRV
116

Target volumes – overlaps
117

Target volumes – overlaps
118

Slide Number 89
119

Take home messages
120

Take home messages
121

Radiation oncology - a team effort
122

L04 Image Handling - Kunze-Busch
123

Slide Number 1
123

Slide Number 2
124

Slide Number 3
125

Overview
126

Image data in RT chain
127

Treatment preparation – diagnostic scan
128

Treatment preparation – diagnostic scan
129

Treatment preparation – planning CT
130

Treatment preparation – planning CT
131

Treatment preparation – planning (PET/)CT
132

Treatment preparation – delineation
133

Dealing with tumor motion
134

Slide Number 13
135

Slide Number 14
136

Treatment preparation – display
137

Treatment preparation – registration
138

Image data in RT chain
139

Treatment delivery – ImageGuidedRT
140

Treatment delivery – IGRT
141

Treatment delivery – IGRT
142

Treatment delivery – IGRT
143

Next IGRT generation: MR-guided RT
144

Slide Number 23
145

Image data in RT chain
146

Slide Number 25
147

Slide Number 26
148

Take home messages
149

Slide Number 28
150

L05 Inter-Obser Variation in Radiotherapy Delineation - Remeijer
151

Slide Number 1
151

Inter-observer variation in target volume delineation
152

Slide Number 3
153

What influences delineation uncertainty?
154

Lack of coffee…..
155

… or too much coffee
156

Level/window
157

Modalities
158

Resolution
159

MRI artifacts can cause invisible geometrical errors!
160

Registration
161

Why is this so important?
162

How to analyze?
163

How to analyze: Volumes?
164

How to analyze: Volumes?
165

How to analyze?
166

How to analyze?
167

Distance maps
168

Systematic modality difference (axial MRI - CT)
169

Overall observer variation in CT (SD)
170

What next?
171

Slide Number 22
172

Slide Number 23
173

Slide Number 24
174

Slide Number 25
175

Slide Number 26
176

Slide Number 27
177

Slide Number 28
178

Slide Number 29
179

Slide Number 30
180

“Big Brother”
181

Slide Number 32
182

Slide Number 33
183

Slide Number 34
184

Matched MRI – CT
185

Slide Number 36
186

Conclusions
187

Slide Number 38
188

Slide Number 39
189

L06 From Uncertainties to Margins - Remeijer
190

From uncertainties to margins
190

Introduction
191

Some examples
192

Slide Number 4
193

The radiotherapy chain
194

Geometrical uncertainties
195

Geometrical uncertainties
196

Effect of geometrical errors
197

Geometrical uncertainties
198

Many varieties
199

But also different sources!
200

Slide Number 12
201

Prostate
202

Bladder
203

Slide Number 15
204

Determining the uncertainties
205

Determining the uncertainties
206

Determining the uncertainties
207

Slide Number 19
208

How do we determine the margin?
209

Effect of geometrical errors
210

Margins for random errors
211

Margins for random errors
212

Slide Number 24
213

Margins for systematic errors
214

Margins for systematic errors
215

PTV for systematic translations
216

Margins for systematic translations
217

Slide Number 29
218

Margin recipe
219

Keeping things in perspective
220

GTV versus CTV underdosage
221

GTV versus CTV underdosage
222

Keeping things in perspective
223

Conclusions
224

Slide Number 36
225

Slide Number 37
226

Slide Number 38
227

L07A Image Registration - Kunze-Busch
228

Slide Number 1
228

Slide Number 2
229

Overview
230

Slide Number 4
231

Slide Number 5
232

Slide Number 6
233

1. Geometrical transformation T
234

1. Geometrical transformation T
235

1. Geometrical transformation T
236

1. Geometrical transformation T
237

2. Similarity measure
238

2. Similarity measure
239

Slide Number 13
240

Slide Number 14
241

Slide Number 15
242

3. Optimizer/optimization algorithm
243

Image registration in the RT chain
244

Image registration in the RT chain
245

Treatment preparation
246

Slide Number 20
247

different scanning position
248

motion
249

scans at different points in time
250

Image registration in the RT chain
251

Slide Number 25
252

CT – CBCT: Bone registration
253

CT – CBCT: Bone registration
254

grey value registration
255

Slide Number 29
256

Slide Number 30
257

Image registration in the RT chain
258

Quantification of organ motion
259

Impact on margins?
260

Slide Number 34
261

Slide Number 35
262

Slide Number 36
263

L07B Image Registration - Kunze-Busch
264

Slide Number 1
264

Slide Number 2
265

Available software programs
266

Slide Number 4
267

Slide Number 5
268

Slide Number 6
269

Slide Number 7
270

Clinical implementation
271

Physical or digital QA
272

Slide Number 10
273

Task group 132
274

Slide Number 12
275

L8 Anatomy and Lymph Node Drainage in the Mediastinum - Troost
276

Slide Number 1
276

Slide Number 2
277

Slide Number 3
278

Slide Number 4
279

Slide Number 5
280

Slide Number 6
281

Slide Number 7
282

Slide Number 8
283

Slide Number 9
284

Slide Number 10
285

Slide Number 11
286

Slide Number 12
287

Slide Number 13
288

Slide Number 14
289

Slide Number 15
290

Slide Number 16
291

Slide Number 17
292

Slide Number 18
293

Slide Number 19
294

Slide Number 20
295

Slide Number 21
296

Slide Number 22
297

Slide Number 23
298

Slide Number 24
299

Slide Number 25
300

Slide Number 26
301

L09 Anatomy & Lymph Node Drainage for Breast Cancer - Delorme
302

L10 GTV and CTV for Breast Cancer - Arenas
315

Slide Number 1
315

Slide Number 2
316

Slide Number 3
317

Slide Number 4
318

Slide Number 5
319

Slide Number 6
320

Slide Number 7
321

Slide Number 8
322

Slide Number 9
323

Slide Number 10
324

Slide Number 11
325

Slide Number 12
326

Slide Number 13
327

Slide Number 14
328

Slide Number 15
329

Slide Number 16
330

Slide Number 17
331

Slide Number 18
332

Slide Number 19
333

Slide Number 20
334

Slide Number 21
335

Slide Number 22
336

Slide Number 23
337

Slide Number 24
338

Slide Number 25
339

Slide Number 26
340

Slide Number 27
341

Slide Number 28
342

Slide Number 29
343

Slide Number 30
344

Slide Number 31
345

Slide Number 32
346

Slide Number 33
347

Slide Number 34
348

Slide Number 35
349

Slide Number 36
350

Slide Number 37
351

Slide Number 38
352

Slide Number 39
353

Slide Number 40
354

Slide Number 41
355

Slide Number 42
356

Slide Number 43
357

Slide Number 44
358

Slide Number 45
359

Slide Number 46
360

Slide Number 47
361

Slide Number 48
362

Slide Number 49
363

Slide Number 50
364

Slide Number 51
365

Slide Number 52
366

Slide Number 53
367

Slide Number 54
368

Slide Number 55
369

Slide Number 56
370

Slide Number 57
371

Slide Number 58
372

Slide Number 59
373

Slide Number 60
374

Slide Number 61
375

Slide Number 62
376

Slide Number 63
377

Slide Number 64
378

Slide Number 65
379

Slide Number 66
380

Slide Number 67
381

Slide Number 68
382

Slide Number 69
383

Slide Number 70
384

Slide Number 71
385

Slide Number 72
386

Slide Number 73
387

Slide Number 74
388

Slide Number 75
389

Slide Number 76
390

Slide Number 77
391

Slide Number 78
392

Slide Number 79
393

Slide Number 80
394

Slide Number 81
395

Slide Number 82
396

Slide Number 83
397

Slide Number 84
398

Slide Number 85
399

Slide Number 86
400

Slide Number 87
401

Slide Number 88
402

Slide Number 89
403

Slide Number 90
404

Slide Number 91
405

Slide Number 92
406

Slide Number 93
407

Slide Number 94
408

Slide Number 95
409

Slide Number 96
410

Slide Number 97
411

Slide Number 98
412

Slide Number 99
413

Slide Number 100
414

Slide Number 101
415

Slide Number 102
416

Slide Number 103
417

Slide Number 104
418

Slide Number 105
419

L11 Anatomy & Lymph Node Drainage for Lung Cancer - Delorme
420

L12 GTV and CTV for Lunch Cancer - Troost
431

Slide Number 1
431

Slide Number 2
432

Slide Number 3
433

Slide Number 4
434

Slide Number 5
435

Slide Number 6
436

Slide Number 7
437

Slide Number 8
438

Slide Number 9
439

Slide Number 10
440

Slide Number 11
441

Slide Number 12
442

Slide Number 13
443

Slide Number 14
444

Slide Number 15
445

Slide Number 16
446

Slide Number 17
447

Slide Number 18
448

Slide Number 19
449

Slide Number 20
450

Slide Number 21
451

Slide Number 22
452

Slide Number 23
453

Slide Number 24
454

Slide Number 25
455

Slide Number 26
456

Slide Number 27
457

Slide Number 28
458

Slide Number 29
459

Slide Number 30
460

Imaging vs pathology
461

Slide Number 32
462

Slide Number 33
463

Slide Number 34
464

Slide Number 35
465

Slide Number 36
466

Slide Number 37
467

Slide Number 43
468

Slide Number 44
469

Slide Number 45
470

Slide Number 46
471

Slide Number 47
472

Slide Number 48
473

Slide Number 49
474

Slide Number 50
475

Slide Number 51
476

Slide Number 52
477

Slide Number 53
478

Slide Number 54
479

L15 Anatomy & Lymph Node Drainage for H&N Cancer - Carey
480

L16 CTV of the Elective Neck - Madani
517

Slide Number 1
517

Slide Number 2
518

Slide Number 3
519

Slide Number 4
520

Slide Number 5
521

Slide Number 6
522

Slide Number 7
523

Slide Number 8
524

Slide Number 9
525

Slide Number 10
526

Slide Number 11
527

Slide Number 12
528

Slide Number 13
529

Slide Number 14
530

Slide Number 15
531

Slide Number 16
532

Slide Number 17
533

Slide Number 18
534

Slide Number 19
535

Slide Number 20
536

Slide Number 21
537

Slide Number 22
538

Slide Number 23
539

Slide Number 24
540

Slide Number 25
541

Slide Number 26
542

Slide Number 27
543

Slide Number 28
544

Slide Number 29
545

Slide Number 30
546

Slide Number 31
547

Slide Number 32
548

Slide Number 33
549

Slide Number 34
550

Slide Number 35
551

Slide Number 36
552

Slide Number 37
553

Slide Number 38
554

Slide Number 39
555

Slide Number 40
556

Slide Number 41
557

Slide Number 42
558

Slide Number 43
559

Slide Number 44
560

Slide Number 45
561

Slide Number 46
562

Slide Number 47
563

Slide Number 48
564

Slide Number 49
565

Slide Number 50
566

Slide Number 51
567

Slide Number 52
568

Slide Number 53
569

Slide Number 54
570

Slide Number 55
571

Slide Number 56
572

Slide Number 57
573

L17 GTV and CTV for H&N Cancer - Madani
574

Slide Number 1
574

Slide Number 2
575

Slide Number 3
576

Slide Number 4
577

Slide Number 5
578

Slide Number 6
579

Slide Number 7
580

Slide Number 8
581

Slide Number 9
582

Slide Number 10
583

Slide Number 11
584

Slide Number 12
585

Slide Number 13
586

Slide Number 14
587

Slide Number 15
588

Slide Number 16
589

Slide Number 17
590

Slide Number 18
591

Slide Number 19
592

Slide Number 20
593

Slide Number 21
594

Slide Number 22
595

Slide Number 23
596

Slide Number 24
597

Slide Number 25
598

Slide Number 26
599

Slide Number 27
600

Slide Number 28
601

Slide Number 29
602

Slide Number 30
603

Slide Number 31
604

Slide Number 32
605

Slide Number 33
606

Slide Number 34
607

Slide Number 35
608

Slide Number 36
609

Slide Number 37
610

Slide Number 38
611

Slide Number 39
612

Slide Number 40
613

Slide Number 41
614

L19 Anatomy for CNS Tumours - Delorme
615

L20 GTV and CTV for CNS Tumors - Jefferies
624

CTV for gliomas Neil Burnet & Sarah Jefferies
624

Slide Number 2
625

CNS Tumours
626

Learning Objectives
627

High Grade Glioma (HGG)
628

HGG
629

Tumour Spread
630

Tumour Spread
631

Tumour Spread
632

Tumour Spread
633

Tumour spread
634

Slide Number 12
635

Tumour spread
636

Slide Number 14
637

Tumour spread
638

Inter-thalamic adhesion
639

Inter-thalamic adhesion
640

Tumour Spread
641

HGG - CTV
642

Essentials
643

HGG - GTV
644

GBM - presentation
645

GBM early post-op imaging
646

Slide Number 24
647

Slide Number 25
648

Slide Number 26
649

HGG - GTV
650

HGG - GTV
651

HGG - GTV
652

Slide Number 30
653

HGG Invasion
654

GTV – True extent of tumour
655

HGG – GTV definitions
656

Surgical Cavity
657

Slide Number 35
658

HGG – GTV / CTV
659

HGG – GTV / CTV
660

Slide Number 38
661

Slide Number 39
662

Slide Number 40
663

Slide Number 41
664

From GTV to CTV
665

Slide Number 43
666

Slide Number 44
667

HGG - CTV
668

HGG - CTV
669

Oedema
670

Slide Number 48
671

HGG - CTV
672

Slide Number 50
673

Slide Number 51
674

Slide Number 52
675

Oedema – include or not?
676

Oedema – include or not?
677

Oedema – include or not?
678

GTV - T1+Gd or oedema
679

HGG - CTV
680

Slide Number 58
681

Slide Number 59
682

Slide Number 60
683

High grade glioma - PTV
684

Slide Number 62
685

Slide Number 63
686

High grade glioma
687

Slide Number 65
688

CNS case
689

Slide Number 67
690

Slide Number 68
691

Slide Number 69
692

GBM - IMRT plan DVHs
693

Slide Number 71
694

Low Grade Glioma (LGG)
695

Low grade glioma
696

Low grade glioma
697

Slide Number 75
698

Slide Number 76
699

Slide Number 77
700

Low grade glioma
701

LGG - GTV
702

GTV – True extent of tumour
703

Slide Number 81
704

Slide Number 82
705

Low grade glioma - CTV
706

LGG
707

LGG
708

LGG
709

LGG
710

LGG
711

LGG – CTV Suggested margins
712

Summary
713

LGG cases
714

Slide Number 92
715

Slide Number 93
716

Slide Number 94
717

Slide Number 95
718

Normal tissue tolerance
719

New Guidelines for OAR
720

Normal tissue tolerance
721

Optic nerve tolerance & risk
722

Optic nerve tolerance & risk
723

Chemo + RT for GBM
724

Optic nerve tolerance & risk
725

Optic nerve tolerance & risk
726

Optic nerve tolerance & risk
727

Optic nerve tolerance & risk
728

Optic nerve tolerance & risk
729

Thank you !
730

L22 Anatomy & Lymph Node Drainage for Upper GI Cancer - Carey
731

L23 GTV and CTV for Oesophageal Cancer - Gambacorta
763

GTV and CTV delineation for Esophageal cancer- Organ at risk delineation
763

Esophageal cancer
764

Esophageal cancer
765

Treatment approaches
766

Treatment approaches
767

Treatment approaches
768

Treatment indications
769

Esophageal cancer
770

Sites of recurrence
771

Sites of recurrence
772

Esophageal cancer
773

Esophageal cancer
774

Target volume delineation
775

GTV definition
776

GTV definition
777

GTV-T definition:CT Scan
778

CT Scan for GTV-T definition: infiltration of adjacent organs
779

CT Scan for GTV-T definition: infiltration of adjacent organs
780

CT Scan for GTV-T definition: infiltration of adjacent organs
781

GTV-N definition:CT Scan
782

CT Scan for GTV-N definition: lymphnodal metastases
783

How to improve GTV definition
784

GTV delineation in CT & PET
785

GTV delineation in CT & PET
786

GTV delineation in CT & PET
787

Slide Number 26
788

Slide Number 27
789

Slide Number 28
790

Slide Number 29
791

PET for GTV definition: summary
792

GTV delineation: summary
793

Esophageal cancer
794

CTV definition in clinical trials
795

CTV-T
796

CTV-T Length along esophagus
797

CTV Length along esophagus
798

CTV Length along esophagus
799

CTV Length along esophagus
800

CTV longitudinal margins
801

CTV radial margins
802

CTVs definition
803

Esophageal cancer
804

The importance of lymphnodal spread
805

The importance of lymphnodal spread
806

The importance of lymphnodal spread
807

The importance of lymphnodal spread
808

The importance of lymphnodal spread
809

The importance of lymphnodal spread
810

The importance of lymphnodal spread
811

The importance of lymphnodal spread
812

The importance of lymphnodal spread
813

The importance of lymphnodal spread
814

Lymphnodal spread according to T location
815

Lymphnodes classification
816

Cervical level
817

Slide Number 56
818

Cervical CT axial anatomy
819

Thoracic level
820

Thoracic level: axial anatomy
821

Slide Number 60
822

Thoracic level: axial anatomy
823

Thoracic CT anatomy
824

Abdominal level
825

Slide Number 64
826

CTV-elective definition
827

CTV-elective: cervical
828

CTV-elective: upper thoracic
829

CTV-elective: middle thoracic
830

CTV-elective: lower thoracic
831

Take home
832

Gastro-esophageal tumor
833

GEJ: GTV and CTV (T, N)
834

Slide Number 73
835

Slide Number 74
836

Slide Number 75
837

Slide Number 76
838

GEJ: CTV elective; Type I
839

GEJ: CTV elective; Type II
840

GEJ: CTV elective; Type III
841

OARs organization and delineation
842

OARs constraints and delineation
843

OARs delineation variability
844

OARs not preventable toxicities
845

Slide Number 84
846

L24 GTV and CTV for Gastric Cancer - Gambacorta
847

GTV and CTV for gastric cancer – Delineation of Organ at risk
847

Target Volume Definition
848

Evidences:Surgical treatment
849

Slide Number 4
850

Evidences:Sites of Recurrence
851

Evidences:Sites of Recurrence
852

Evidences:INT-0116 Overall Survival
853

Evidences:INT-0116 Surgical Quality Review
854

Treatment Guidelines
855

Evidences:Why preoperative treatments?
856

Evidences:Why preoperative treatments?
857

Slide Number 12
858

Evidences: compliance, RT targeting
859

Evidences: compliance, RT targeting
860

Target Volume Definition
861

Areas at risk
862

Areas at risk
863

Areas at risk post-op: Tumor bed/remnant
864

Areas at Risk post-op: Tumor bed
865

Areas at Risk post-op: Tumor bed
866

Areas at risk post-op
867

Areas at Risk post-op: Anastomosis & Stump
868

Area at Risk post-op: Anastomosis
869

Area at Risk: Anastomosis & Stump
870

Area at Risk post-op: Duodenal Stump
871

Area at Risk post-op: Anastomosis & Stump
872

Target volume definition: pre-op
873

Target volume definition: pre-op
874

Target volume definition: pre-op
875

Target volume definition: pre-op
876

Area at Risk pre/post-op: Elective Nodes
877

Area at Risk pre/post-op: Elective Nodes
878

Areas at Risk: Elective Nodes
879

Gastric level (1 – 6)
880

Gastric level (1 – 6)
881

Slide Number 36
882

Slide Number 37
883

Slide Number 38
884

Slide Number 39
885

Slide Number 40
886

Slide Number 41
887

Pancreatic level (7 – 18)
888

Pancreatic level (7 – 18)
889

Pancreatic level (7 – 18)
890

Slide Number 45
891

Slide Number 46
892

Slide Number 47
893

Slide Number 48
894

Slide Number 49
895

Vascular level (16-19)
896

Vascular level (16-19)
897

Vascular level (16-19)
898

Vascular level (16-19): topography
899

Vascular level (16-19): axial anatomy
900

Vascular level (16-19): axial anatomy
901

Vascular level (16-19): axial anatomy
902

Vascular level (16-19): axial anatomy
903

Slide Number 58
904

Slide Number 59
905

Slide Number 60
906

Slide Number 61
907

Slide Number 62
908

Target Volume Delineation
909

Slide Number 64
910

Slide Number 65
911

Slide Number 66
912

Slide Number 67
913

Slide Number 68
914

Slide Number 69
915

Slide Number 70
916

Slide Number 71
917

Slide Number 72
918

Slide Number 73
919

Slide Number 74
920

Slide Number 75
921

Slide Number 76
922

Slide Number 77
923

Slide Number 78
924

Slide Number 79
925

Slide Number 80
926

Slide Number 81
927

Slide Number 82
928

Slide Number 83
929

Slide Number 84
930

Slide Number 85
931

Slide Number 86
932

Slide Number 87
933

Slide Number 88
934

Slide Number 89
935

Slide Number 90
936

Organ At Risk
937

INT-0116: compliance to chemoradiation
938

INT-0116: Side Effects(Grade 3 - 4 WHO)
939

OARs constraints and delineation
940

OARs constraints and delineation
941

Conclusions: Target Volume Definition
942

Slide Number 97
943

L25 Anatomy & Lymph Node Drainage for Rectal and Anal Cancer - Carey
944

L26 GTV and CTV for Rectal Cancer - Gambacorta
980

GTV and CTV for Rectal Cancer
980

Slide Number 2
981

Slide Number 3
982

CTV: what to include
983

CTV in rectal cancer
984

TME clinical target
985

Slide Number 7
986

Slide Number 8
987

Slide Number 9
988

Slide Number 10
989

Slide Number 11
990

Slide Number 12
991

Slide Number 13
992

Slide Number 14
993

Slide Number 15
994

Slide Number 16
995

Slide Number 17
996

Slide Number 18
997

Slide Number 19
998

Slide Number 20
999

Slide Number 21
1000

Slide Number 22
1001

Slide Number 23
1002

Slide Number 24
1003

Slide Number 25
1004

Slide Number 26
1005

Slide Number 27
1006

Slide Number 28
1007

Slide Number 29
1008

Slide Number 30
1009

Slide Number 31
1010

Slide Number 32
1011

Slide Number 33
1012

Slide Number 34
1013

Slide Number 35
1014

Slide Number 36
1015

Slide Number 37
1016

Slide Number 38
1017

Delineation guidelines
1018

Slide Number 40
1019

Delineation guidelines
1020

Mesorectum: delineation guidelines
1021

Mesorectum: delineation guidelines
1022

Presacral: delineation guidelines
1023

Lateral spaces: delineation guidelines
1024

Lateral spaces
1025

Lateral spaces
1026

Slide Number 48
1027

Slide Number 49
1028

Delineation guidelines
1029

Delineation guidelines
1030

CTV modulation
1031

Slide Number 53
1032

Slide Number 54
1033

Slide Number 55
1034

Slide Number 56
1035

Slide Number 57
1036

Slide Number 58
1037

Slide Number 59
1038

Inferior pelvic subsite(sphincter complex and ischiorectal fossae)
1039

Inferior pelvic subsite
1040

Inferior pelvic subsite
1041

CTV modulation
1042

Inguinal nodes
1043

PTV definition
1044

Slide Number 66
1045

Slide Number 67
1046

L27 GTV and CTV for Anal Cancer - Gambacorta
1047

GTV and CTV delineation for Anal CancerDelineation of Organ at Risk in Ano-Rectal cancer
1047

Slide Number 2
1048

Slide Number 3
1049

Slide Number 4
1050

Slide Number 5
1051

Slide Number 6
1052

Slide Number 7
1053

Slide Number 8
1054

Slide Number 9
1055

Slide Number 10
1056

Slide Number 11
1057

Slide Number 12
1058

Slide Number 13
1059

Slide Number 14
1060

Slide Number 15
1061

Slide Number 16
1062

Slide Number 17
1063

Slide Number 19
1064

Slide Number 20
1065

Slide Number 21
1066

Slide Number 22
1067

Slide Number 23
1068

Slide Number 24
1069

Slide Number 25
1070

Slide Number 26
1071

Slide Number 27
1072

Slide Number 28
1073

Slide Number 29
1074

Slide Number 30
1075

Slide Number 31
1076

Slide Number 32
1077

Slide Number 33
1078

Slide Number 34
1079

Slide Number 35
1080

Slide Number 36
1081

Slide Number 37
1082

Slide Number 38
1083

Slide Number 39
1084

Slide Number 41
1085

OARs in ano-rectal
1086

Anal cancer delineation
1087

Slide Number 46
1088

Slide Number 47
1089

Slide Number 48
1090

Slide Number 49
1091

Slide Number 50
1092

Slide Number 51
1093

Slide Number 52
1094

Slide Number 53
1095

Slide Number 54
1096

Slide Number 55
1097

Sexual function (male*)
1098

Sexual function (male*)
1099

Slide Number 58
1100

Slide Number 59
1101

Ano-Rectum OAR
1102

L28 Anatomy & Lymph Node Drainage for Gyneacological Cancer - Carey
1103

L29 GTV and CTV for Cervical Cancer - De Meerleer
1140

Slide Number 1
1140

Slide Number 2
1141

Slide Number 3
1142

Slide Number 4
1143

Slide Number 5
1144

Slide Number 6
1145

Slide Number 7
1146

Slide Number 8
1147

Slide Number 9
1148

Slide Number 10
1149

Slide Number 11
1150

Slide Number 12
1151

Slide Number 13
1152

Slide Number 14
1153

Slide Number 15
1154

Slide Number 16
1155

Slide Number 17
1156

Slide Number 18
1157

Major issue: healthy tissue
1158

Major issue: healthy tissue
1159

Major issue: healthy tissue
1160

Major issue: healthy tissue
1161

Slide Number 23
1162

Slide Number 24
1163

Slide Number 25
1164

Slide Number 26
1165

Slide Number 27
1166

Slide Number 28
1167

Slide Number 29
1168

Slide Number 30
1169

Slide Number 31
1170

Slide Number 32
1171

Slide Number 33
1172

Slide Number 34
1173

Slide Number 35
1174

Slide Number 36
1175

Slide Number 37
1176

Slide Number 38
1177

Slide Number 39
1178

L30 GTV and CTV in the Postoperative Gynaecological Setting - De Meerleer
1179

Slide Number 1
1179

Slide Number 2
1180

Slide Number 3
1181

Slide Number 4
1182

Slide Number 5
1183

Slide Number 6
1184

Slide Number 7
1185

Slide Number 8
1186

Slide Number 9
1187

Slide Number 10
1188

Slide Number 11
1189

Slide Number 12
1190

Slide Number 13
1191

Slide Number 14
1192

Slide Number 15
1193

Slide Number 16
1194

Slide Number 17
1195

Slide Number 18
1196

Slide Number 19
1197

Slide Number 20
1198

Slide Number 21
1199

Slide Number 22
1200

Slide Number 23
1201

Slide Number 24
1202

Slide Number 25
1203

Slide Number 26
1204

Slide Number 27
1205

Slide Number 28
1206

Slide Number 29
1207

Slide Number 30
1208

Slide Number 31
1209

Slide Number 32
1210

L31 Anatomy & Lymph Node Drainage for Prostate Cancer - Delorme
1211

L32 GTV and CTV for Prostate Cancer - De Meerleer
1222

Slide Number 1
1222

Slide Number 2
1223

Slide Number 3
1224

Slide Number 4
1225

MR in radiotherapy: Debois IJROBP 1999; 45: 857-865.
1226

MR in radiotherapy: Debois IJROBP 1999; 45: 857-865.
1227

MR in radiotherapy: Debois IJROBP 1999; 45: 857-865.
1228

Slide Number 8
1229

MRI
1230

MRI
1231

Slide Number 11
1232

Slide Number 12
1233

Slide Number 13
1234

Biochemical failure (Multivariate Analysis)
1235

Biochemical failure (Multivariate Analysis)
1236

Slide Number 16
1237

Slide Number 17
1238

Slide Number 18
1239

Slide Number 19
1240

Slide Number 20
1241

Slide Number 21
1242

Slide Number 22
1243

Slide Number 23
1244

Slide Number 24
1245

Slide Number 25
1246

Slide Number 26
1247

Slide Number 27
1248

Slide Number 28
1249

Slide Number 29
1250

Slide Number 30
1251

Slide Number 31
1252

Slide Number 32
1253

Slide Number 33
1254

Slide Number 34
1255

Slide Number 35
1256

Biochemical control ≈ IPL for high risk
1257

Elective nodal irradiation?
1258

Slide Number 38
1259

Slide Number 39
1260

Slide Number 40
1261

Slide Number 41
1262

Slide Number 42
1263

Slide Number 43
1264

Slide Number 44
1265

Slide Number 45
1266

Slide Number 46
1267

Slide Number 47
1268

What if pN+ disease?
1269

Slide Number 49
1270

Slide Number 50
1271

Slide Number 51
1272

Slide Number 52
1273

Slide Number 53
1274

Slide Number 54
1275

Slide Number 55
1276

Slide Number 56
1277

Slide Number 57
1278

Slide Number 58
1279

Slide Number 59
1280

Slide Number 60
1281

L33 GTV and CTV in the Postoperative Prostate Cancer Setting - De Meerleer
1282

Postoperative setting?
1282

Slide Number 2
1283

Slide Number 3
1284

Slide Number 4
1285

Slide Number 5
1286

Slide Number 6
1287

Slide Number 7
1288

Slide Number 8
1289

Slide Number 9
1290

Slide Number 10
1291

Slide Number 11
1292

Slide Number 12
1293

Slide Number 13
1294

Slide Number 14
1295

Slide Number 15
1296

Slide Number 16
1297

Slide Number 17
1298

Slide Number 18
1299

Slide Number 19
1300

Slide Number 20
1301

Slide Number 21
1302

Slide Number 22
1303

Slide Number 23
1304

Slide Number 24
1305

Slide Number 25
1306

Slide Number 26
1307

Slide Number 27
1308

Slide Number 28
1309

Slide Number 29
1310

Slide Number 30
1311