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Systems Developed
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WHO – 1979
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NCI - CTC – 1983
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RTOG – 1984
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RTOG/EORTC – 1984
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Franco-Italian Dictionary
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The Dische grading dictionary
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LENT-SOMA – 1995
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CTCAE Version 3 - 2003
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CTCAE Version 4 – 2010
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All with varying degrees of content and severity of scaling
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Need for standardisation and amalgamation of acute and late
effects…
Chemotherapy only
Radiation Oncology, Acute Only