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Bas

elin

e

Wk

1

2

3

4

5

Vol of

FBM

(cc)

V10Gy

(<90% -Mell

et al)

V40Gy

(< 40% -

RTOG 0418)

Mean Dose

FBM

(<25Gy)

Pt 1 0

0

0

0

0

Gr 1

425

74.2 %

25.6 %

24.9 Gy

Pt 2 0

0

0

0

0

Gr 1

482

83.9 %

34.9 %

29.0 Gy

Pt 3 0

0

0

Gr

1

Gr 1

Gr 2

446

79.7 %

35.9 %

27.5 Gy

Pt 4 0

0

0

Gr

1

Gr 1

Gr 2

702

69.3 %

13.2 %

21.9 Gy

Pt 5 0

0

0

0

0

Gr 1

409

83.1 %

18.3 %

24.4 Gy

Pt 6

0

0

Gr 4

*

Gr

2

0

0

272

95.3 %

28.9 %

28.8 Gy

TMH Experience : 9 pts recruited in phase II study

Baseline Active BM reserves were low

Dose constraints not achieved

Grade 4 HT toxicity