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IMRT to spare bone marrow ?

- Acute Hematological is relevant for

anal ca RT

- Evidence of dose-volume effects for the

pelvic bone marrow in rectal and anal

canal ca. with 3DCRT (Mell 2007)

- V40 more predictive (Mell 2008), very

few recent updates (Franco 2016, Julie

2016)

- BM-sparing planning for anal cancer

rarely reported …..potential interplay

with bowel/bladder sparing (?)

Mell 2008