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Rectal bleeding: dose-volume, dose-surface or dose

wall?

- Empty rectum: DWH

DVH

- Full rectum: DWH

DSH

Robust solutions:

Sanchez-Nieto B, Fenwick J F, NahumA E

et al

2001

Biological dose surface maps: evaluation of 3D dose data

for tubular organs

Radiother. Oncol.

61

S52

Empty the rectum at plan CT scan and

use DVH

Use DSH for distended rectum (rectal

balloon

)

Several prospective studies ongoing