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Prescribing

For serial organs, maximum (near-max) dose is relevant

parameter

ICRU recommends D

2 %

rather than D

Max

(D

0 %

)

Overcomes problem of defining (knowing!) what volume of

the structure is important

Note that D

2 %

not validated (yet); caution given !

But … it is logical

However, effect will depend on total volume of structure

In gynae brachtherapy often use D

2 cm

3