Gynae BT_Lucknow_2018

Is it important to reduce irradiated volume?

 Evidence that bowel irradiation is related with acute morbidity  Evidence that bowel irradiation is related with late morbidity  Randomised trials (Chopra et al (TMH) Klopp et al (MDACC)

Late toxicity: diarrhea

CRT

IMRT

Preliminary EMBRACE data

Chopra S, IJROBP, 88, 630-635, 2014

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