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BM and RT Technique

LumboSacral

BM

Iliac BM

16.4 Gy

Lower Pelvis

BM

27 Gy

19 Gy

Loren K et al. Int J Radiat Oncol Biol Phys 2008 Loren K et al. Int J Radiat Oncol Biol Phys 2008

APPA:

advantage at doses < 10Gy

IMRT:

advantage in doses > 20Gy

Different dose distribution in different BM sites