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Modern radiotherapy (RT) protocols for prostate cancer often involve the use of narrow margins and image-based monitoring of rectum/bladder fill status. These protocols have allowed safe prostate dose escalation, maintaining acceptable levels for organs at risk (bladder and rectum). However, daily cone-beam CT (CBCT) image-guided RT has demonstrated considerable bladder volume variation throughout...
The predominant approach to clinically applied adaptive radiotherapy (ART) for bladder cancer is daily selection of treatment plans from a plan library. In this study we have compared two clinical strategies for creating multiple planning target volumes (PTV) for ART of bladder cancer.Online ART delivering 60Gy in 30 fractions to the whole bladder was simulated for ten patients using two methods of...
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