Fig. 4

Treatment plan comparison. Basic treatment plan (a), including lymph node irradiation up to 45 Gy à 1.8 Gy. Based on the information obtained by 68Ga-PSMA-PET imaging, PET-positive nodes receive a simultaneous integrated boost to 54 Gy à 2.17 Gy. In comparison with Fig. 4a an example of the dose distribution (b) without the knowledge through the 68Ga-PSMA-PET; the lymph node involvement would not have been suspected and therefore only the prostate itself would have been treated