509 / 1332
IMPLEMENTATION OF IGRT IN AN IMRT ENVIRONMENT :
PRE-REQUISTE TO SUCCESS
Target
delineation
Organ
motion
(interfraction/
intrafraction)
TUMOR
Regression
Set up /
IGRT
Bladder filling
Rectal filling
Immobilization
Type of IGRT
Imaging protocol
Contouring Consensus
Adaptive Plan
•
Mid RT Replan
•
Plan of the Day Approach
IGRT PROTOCOL : INSTITUTIONAL
61,0
7,9
9,0
10,5
16,3
0
10
20
30
40
50
60
70
prior to therapy 1. brachytherapy 2. brachytherapy 3. brachytherapy 4. brachytherapy
Absolute Vol (cm³)