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Repopulation

Conventionally RT delivery:

repopulation evident

3 – 4 weeks after

initiation

For tumor cells, repopulation partly

counteracts

the cell

killing effect of RT

(potential doubling time of tumors !)

Repopulation essential for normal tissue recovery !

Hypofractionation

Hypofractionated RT delivery:

repopulation complete within

1 – 2 weeks

Negligible or no substantial role after

high dose SBRT !