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DSM for highest
accumulated
compared with planned
Planned DSM
0 Gy
74 Gy
0"
0.1"
0.2"
0.3"
0.4"
0.5"
0.6"
0.7"
0.8"
0.9"
1"
0"
10"
20"
30"
40"
50"
60"
70"
80"
90"
Accumulated
DSM
P R A L P
P R A L P
Median difference
in dose
+1.7
Gy
Maximum increase
in dose
+18.2
Gy
Maximum
decrease in dose -
2.8 Gy
Courtesy of Dr Jessica Scaife BJR 2015 Aug 11:20150243