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