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Tanderup K, et al. Radiother Oncol 2010;94:173-80.
Point A Dose in the context of Image Guided Adaptive BT
Over-dosing the tumour
Under-dosing the tumour
Poor predictor of D90
in individual patients
HR CTV D90 ≈ 60-150% of point A Dose
Is it still relevant
in IGABT era?
Point A Dose
+/- Over-dosing the OAR