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Initial strategy plan selection: straightforward

Only 1 CT scan – no extreme bladder/rectum fillings

No need of algorithm

But concerns:

More complex target definition target volume compared to

bladder and cervix?

Larger patient numbers – more RTTs to be trained

Dosimetric benefit given anatomy of target and OAR

Implementation strategy:

Observer study to assess feasibility and support training and

implementation (large number RTTs)

Dosimetric study to assess dose to OAR

Plan selection – rectum