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Comparative planning study: IMRT vs PBT in

pelvic Ewing Sarcoma

VMAT

Good bowel, rectum and bladder sparing

Femoral head within tolerance

Spare one ovary to mean dose 4.3Gy

Uterus mean dose <10Gy in 80% of cases

Low dose bath

IMPT

Superior sparing of:

Femoral head

Ovaries

Uterus

No low dose bath but high entry dose

38

Le Grange, Amos, Bodey, Seddon, UCLH 2015