Lower GI 2016

IMRT to spare bone marrow ?

- Acute Hematological is relevant for anal ca RT - Evidence of dose-volume effects for the pelvic bone marrow in rectal and anal canal ca. with 3DCRT (Mell 2007) - V40 more predictive (Mell 2008), very few recent updates (Franco 2016, Julie 2016) - BM-sparing planning for anal cancer rarely reported …..potential interplay with bowel/bladder sparing (?)

Mell 2008