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Example

0%

20%

40%

60%

80%

100%

CHART

Conventional

No mucositis

Patchy mucositis

Confluent mucositis

Acute toxicity

Late toxicity

CHART results in significant increase in

acute mucosal reactions but protects

against late mucosal reactions:

Acute toxicity is NO surrogate marker for

late mucosal reactions

Toxicity

CHART

Observed/expected

Conventional

Observed/expected

Superficial and

deep mucosal

ulceration

0.64

1.53

Dische et al. Radiotherapy Oncology 1997; 44: 123-136