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IMRT to spare bone marrow ?

- Pilot trial sparing active bone marrow (19 gyno, 12 anal ca pts)

- PET FDG +/- quantitative MRI (fat fraction map)

- Not large differences if sparing functional vs total BM

- Promising early results (3/10 grade 3 vs 9/19); phase II trial in progress

Ljiang 2013