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Step 1: NTCP-model

Endpoint: Grade II-IV late dysphagia at 6 months

0%

10%

20%

30%

40%

50%

60%

70%

0 10 20 30 40 50 60 70

Mean dose PCM superius

NTCP (%)

Dmean supraglottic = 10 Gy

Dmean supraglottic = 20 Gy

Dmean supraglottic = 30 Gy

Dmean supraglottic = 40 Gy

Dmean supraglottic = 50 Gy

Dmean supraglottic = 60 Gy

Dmean supraglottic = 70 Gy

Superior

PCM

Supraglottic

area

Christianen, et al. Radiother Oncol 2011

superior PCM