AROI-ESTRO GYN Teaching Course

IMPLEMENTATION OF IGRT IN AN IMRT ENVIRONMENT : PRE-REQUISTE TO SUCCESS

Imaging protocol

Target delineation

Contouring Consensus

Immobilization

Type of IGRT

Organ motion

Bladder filling

Set up / IGRT

Rectal filling

(interfraction/ intrafraction)

70

61,0

60

Adaptive Plan

50

TUMOR Regression

40

• Mid RT Replan

30

16,3

20 Absolute Vol (cm³)

10,5

9,0

7,9

10

• Plan of the Day Approach

0

prior to therapy 1. brachytherapy 2. brachytherapy 3. brachytherapy 4. brachytherapy

IGRT PROTOCOL : INSTITUTIONAL