Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer
IMRT versus 3D-CRT
Dosimetric comparison: meta-analysis
• 13 papers, 222 IMRT and 233 3D-CRT treated patients
• With IMRT better sparing of high dose volumes of bowel and rectum
• No clear gain for bladder and bone marrow
Yang 2012
OAR 25 Gy
30 Gy
35 Gy
40 Gy
45 Gy
Rectum no
- 26.4% - 27.0% - 37.3% -39.5%
Bowel
no
no
no
-17.8% -17.3%
Bladder
no
no
no
no
no
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