Gynae BT 2017
Bowel
General Remarks (uncertainties)
• Missing Clear Links between DVH parameters and Toxicity
• Bowel = Small + Large Bowel in most studies
Highly mobile organ:
•
Only 20% occupies same position during the course of treatment
Blurring the evidence on DVH - Toxicity relations
Kavanagh BD, et al. IJROBP 2010 Muren LP. Radiother Oncol 2003 Kvinnsland Y. Radiother Oncol 2005 Hysing LB. Radiother Oncol 2006 Sanguinetti G. Radiother Oncol 2008 Fokdal L. Radiother Oncol 2005
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