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Conformal to IMRT: GYN Cancers

• Numerous studies including a meta-analysis

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Dosimetric advantage of reduction in high dose regions for OAR’s

• Optimize more dose to tumor (Simultaneous boost)

– Increase tumor control rates

• Optimize dose to normal tissue

– Decrease the normal tissue toxicities

• Other Advantages

– Extended field radiation

Sem Rad Oncol. 2002

Yang Radiation Oncology 2012, 7:197