Clinical Implementation of “Plan of the Day” Strategy in Definitive Radiation Therapy of Cervical Cancer: Online Adaptation to Address the Challenge of Organ Filling Reproducibility

Suman Ghosh,Lavanya Gurram, Amrendra Kumar,Gargee Mulye,Prachi Mittal,Supriya Chopra,Disha Kharbanda,Vinod Hande,Yogesh Ghadi,Libin Scaria, A. Dheera, George Biju Varghese, Satish Kole, Sahebuzzama Ansari,Umesh Mahantshetty,Jai Prakash Agarwal

International journal of radiation oncology, biology, physics（2023）

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摘要

Inter-fractional variation in organ filling (especially bladder) is inevitable despite fixed pre-treatment protocol in definitive settings (intact cervix). Despite the logistical challenges; adaptive IGRT in form of 'plan of the day' based on incremental CTV-to-PTV margins is a relatively simple and feasible strategy to minimise geometric uncertainties in radical IG-IMRT of cervical cancer.

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cervical cancer,definitive radiotherapy,clinical implementation

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