IMRT Course 2016

Comparative planning study: IMRT vs PBT in pelvic Ewing Sarcoma

VMAT Good bowel, rectum and bladder sparing Femoral head within tolerance Spare one ovary to mean dose 4.3Gy Uterus mean dose <10Gy in 80% of cases Low dose bath

IMPT

• Superior sparing of:

Femoral head

•

Ovaries Uterus

•

•

• No low dose bath but high entry dose

Le Grange, Amos, Bodey, Seddon, UCLH 2015

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