2017_IGRT course book
Significant shape change
Bladder too big
No plan provides appropriate coverage
Shape change due to bladder overfilled
Shape change due to rectal filling (flatus/faeces)
Remove patient from couch, void bladder, repeat drinking protocol but review i) volume of fluid drank and or ii) reducing time to image acquisition (<30mins), iii) ensure appropriate clinical assessment is made and that patient is not developing toxicity necessitating intervention and preventing from appropriate voiding
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