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Berrington de Gonzalez et al (IJROBP,

2012)

Second Cancer Radiation Dose-Response Studies

Direct comparaison of ERR/GY from dose>5gy with

lower acute exposure<2gy

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28 published matched case-control studies

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18 Childhood cancer studies

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3400 Patients with 2nd cancers

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Matched to controls without 2nd cancer

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Individual dose reconstruction to location of

2nd cancer

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Requires full radiotherapy planning record

& medical physicists