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Use of Cone Down Boost

14 patients with head and

neck RMS treated with

cone down boost

Pre-chemo volume treated to

30 – 45.6 Gy

Post-chemo volume boosted

50.4 to 55.2 Gy

100% local control at 3 years

McDonald MW et al. Int J Radiat Oncol Phys 2008; 72:884-91