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Dosimetrically triggered adaptive radiotherapy for head and neck cancer: Considerations for the implementation of clinical protocols.

Ana Maria Barragán-MonteroGeneviève Van OoteghemDamien DumontSara Teruel RivasEdmond SterpinXavier Geets
Published in: Journal of applied clinical medical physics (2023)
Our results demonstrate the value of iterative protocol design with retrospective data, and shows the feasibility of automatically-triggered ART using simple dosimetric rules to mimic the physician's decisions. Using a proper target volume definition is important and influences the flagging rate, particularly when decreasing the CTV-to-PTV margin.
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