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Summary 2

IMRT does not make sens

Short life expectancy

No acute effect expected

IMRT is clearly of high value for

Complex shape

High dose combined with close very critical organs : brain tumor,

sarcoma

Must be carefully evaluated

For very sensitive tumors with high cure rate

Large volume treated with low dose ( wilms tumors ,hodgkin )

because the volume receiving low dose (<2gy ) become really

significant