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Outline

Where do we come from?

Intra-departmental

Inter-departmental

A few examples:

“poor man’s solution”: breast as example

Dose accumulation, with different fractionations: Oesophagus

Level 1: manually assessing EQD2

Level 2: rescaling both dose distributions to EQD2 and accumulate

Level 3: rescaling dose distributions taking into account the different α/β

(and recovery …) of all OAR’s and accumulate.

SBRT oligometastases: mixing fractionations and treatment

machines

Some remaining challenges

Conclusions

re-irradiation 2017 - D. Verellen