Case report on the role of adaptive radiotherapy for Pancoast tumour
Keywords:image guided radiation therapy, volumetric modulated arc therapy, cone beam CT
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.
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