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What is the best IGRT strategy in treating the prostate bed (adjuvant or salvage): Daily anatomy KV images vs. fiducial seed kv images vs. CBCTs?

Is there data demonstrating an advantage of one particular IGRT strategy over another?
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What is your IGRT strategy for post-op prostate radiation therapy?

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1 Answer
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Radiation Oncology · University of Chicago
Answered on

For our post-prostatectomy men, we use daily kV and line up to surgical clips if available (contouring out a clip each quadrant of the prostate bed if possible) with a PTV expansion of 5 mm. If clips are not present, then we use CBCT to evaluate soft tissue alignment and use a slightly larger PTV of...

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