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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