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0.54

0.55

0.56

0.57

0.58

0.59

0

10

20

30

40

50

60

Loss in effective dose:

Acute to 60 min: 9%

5 min to 45 min: 6%

5 min to 30 min: 4%

2 Gy in 6 “fields”

Surviving Fraction

Time (min)

/

= 7.6 Gy

t

1/2

= 24.5 min

Potential loss of effect in IMRT:

Prostate PC-3 cell survival in vitro

(Joiner et al, Wayne State University, Detroit)