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Imaging protocols MRI and CT

Changes during EBRT and IGABT

What changes do we expect during

radiochemotherapy?

- Tumor regression

- Organ and Target movement

Dimopoulos J, Fidarova E:

The use of sectional imaging for

image-guided radiotherapy.

In: Viswanathan AN et al eds.

Gynecologic Radiotherapy.

Springer 2011

… CTV, ITV definition – central issue

for modern RT techniques e.g. IMRT

… shrinking target and IGABT

Imaging protocols CT and MRI, JCA Dimopoulos, P Petrow, Prague, Czech Republic, 22.10.2017 - 26.10.2017

75 %

After 30 Gy EBRT

mean GTV volume

reduction 46%

Authors recommend

re-planning if IMRT

is applied

Van de Bunt et al. IJROBP 2008