Gynae BT_Lucknow_2018

Limitation of standard loading pattern with dose prescription to point A

140

Point A dose = 85Gy Standard loading pattern

130

120

110

100

90

80

HR-CTV D90 standard

70

60

50

0 10 20 30 40 50 60 70 80 90 100 110

Volume HR CTV, cm 3

Violation of OAR constraint

K Tanderup et al, Radiother Oncol 2010

3

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