Dose Course 2018_Flipping book
Effect: Second Primary Malignancies (SPM)
• SPM’s mostly in tissues >2Gy (fractionated)
– Thresholds of 0.6Gy (adult) and 0.1Gy (children
• Practical guidelines: aim for reducing volume <3.5Gy Tubiana, R&O 2009 • SPM incidence has reduced due to better conformality of dose (heart, lung, breast) Tubiana, R&O 2009 • Somewhat controversial but clear need for organ specific doses and distributions
(patient specific?)
K.Trott R&O 2009
Dose?
Mesbahi etal, Jpn J Radiol 2010 28:398-403
11
Made with FlippingBook HTML5