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High Doses to Small V:

Things to keep in mind

Bladder

Cervix

Thick

wall

5 cm

3

2cm

3

Olszewska AM. Radiother Oncol 2001;61:83-85

Wachter-Gerstner et al. 2003

Effects: due to Dose in the

Organ wall

, not Lumen

Impact of wall thickness

DVH: conditionally

acceptable for D

5cm

3

D

5cm

3

or D to larger V:

Mainly in the lumen