Case report on the role of adaptive radiotherapy for Pancoast tumour

Maryam Bassa, Nafeesa Vawda, Nazreen Ismail


This case report is of a female patient who had a left lung Pancoast tumour. She received volumetric modulated arc therapy (VMAT) to a total dose of 62Gy in 31 fractions. The acquisition of daily cone-beam computed tomography (CBCT) displayed the tumour response to the treatment. An adaptive radiotherapy approach was used; the treatment plan was changed during the course of treatment in order to re-conform the radiation dose distribution to the changing tumour shape and size. The changes, benefits and use of adaptive radiotherapy in accounting for these changes are discussed.


image guided radiation therapy, volumetric modulated arc therapy, cone beam CT

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The South African Radiographer | ISSN 0258 0241

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