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IMRT

Intensity Modulated RT

4.1

3. 626

5. 877

%95

=

=

CI

Note CI not a “fair”

comparison

as dose is

95% of the lymph nodes,

ie 70% of boost dose

IMRT with Simultaneous

Integrated Boost

• Multiple MLC shaped segments per beam

Step and shoot with integrated boost, nodes to

55Gy, Prostate to 74 Gy

Dose escalation

Evolution towards IMRT

boost

target

OAR