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Example: influence of the number of BT Fx

Random uncertainties and dose response for different fractionation schemes

Example: random uncertainty

D

2cm³

=

±

20%/fx:

nFx=5 => observed morbidity @75Gy 8 5%

For target: using 1 Fx vs 2-5Fx results in

~0 5% lower tumour control probability than

.

nFx=4 => observed morbidity @75Gy 8.9%

nFx=3 => observed morbidity @75Gy 9.4%

nFx=2 => observed morbidity @75Gy 10.3%

.

predicted by model

nFx=1 => observed morbidity @75Gy 12.3%

“Can reduction of uncertainties in cervix cancer brachytherapy potentially

improve clinical outcome?” Nesvacil et al. 2016, submitted to R&O