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Systems Developed

WHO – 1979

NCI - CTC – 1983

RTOG – 1984

RTOG/EORTC – 1984

Franco-Italian Dictionary

The Dische grading dictionary

LENT-SOMA – 1995

CTCAE Version 3 - 2003

CTCAE Version 4 – 2010

CTCAE Version 5 - 2017

All with varying degrees of content and severity of scaling

Need for standardisation and amalgamation of acute and late

effects…

Chemotherapy only

Radiation Oncology, Acute Only