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OVER DOSAGE

• Example brachial

plexus

neuropathy (BPN) due to

radiation

• Overlap of radiation fields as a

result of change in position

between treatment of chest wall

and nodes

• BPN developed in 75%

• 100% with major move

• 63% with moderate move

When things go wrong-a lesson from history

Moderate move between fields

UNDER DOSAGE

• BPN due to disease recurrence