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
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