Table 1. Potential advantages and pitfalls of intensity-modulated radiotherapy (IMRT) and image-guided radiotherapy (IGRT) compared to 3-dimentional conformal radiotherapy (3-D CRT).
IMRT, IGRT | 3-D CRT | |
Advantages: | Sparing of normal organs because of rapid dose fall | No sparing |
Tumor dose escalation possible because of different dose levels within the target volume | No dose escalation | |
Visualization of tumor shrinkage feasible for IGRT allowing re-planning during radiotherapy | No visualization | |
Pitfalls: | Marginal miss if tumor not properly contoured leading to local recurrences. | Unlikely |