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Overutilization of IMRT/IGRT in treatment of rectal cancer:

Cost implications of deviation from evidence-based practices.

98% of deviations involved use of IMRT and/or IGRT

Justification for IMRT/IGRT use included :

-

treatment volumes comparable to anal cancer

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inadequate bowel displacement by routine

techniques

-

obesity.

Cost for a course of 3D CRT + weekly port films was

$6,591 vs.

$32,292 for IMRT + daily IGRT

03/01/13

Curry AH et al., 2014 ASCO Quality Care Symposium

, Abstr 34