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Anal IMRT

• RTOG 0529

Phase 2 dose painting study

Stat sig lower G2 haem, G3 GI and derm toxicity

• Reduce dose to bowel, bladder, genitalia, bone

www.analimrtguidance.co.uk

Single phase IMRT delivered in 28 daily fractions

50.4Gy primary, 53.2 if T3/4, 40Gy elective nodes

Kachnic et al, IJROBP 2013;8(1):27-33