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Parameters for clinical outcome: Rectum

LQ equivalent dose in 2 Gy fractions (Gy)

Volume [%]

0

20

40

60

80

100

10

20

30

40

50

60

70

80

90

Dose-Volume limits for > G2 rectal toxicity with LQ corrected doses (

α/β

= 3 Gy)

Michalski JM et al. Radiation Dose-Volume effects in radiation-induced rectal injury.

Int. J. Radiation Oncology Biol. Phys., Vol. 76, No. 3, Supplement, pp. S123–S129, 2010.

V50

V60

V65

V70

V75

CTCAE G2

:

Symptoms not

interfering

with ADL; medical

intervention indicated

RTOG G2

: Increase of

4-6 stools/day, or

nocturnal stools, or

moderate cramping