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Take home message – dose optimisation
⚫
Always start dose optimisation with standard loading
pattern
⚫
Use manual dose optimisation for major changes
⚫
Use graphical optimisation for minor adaptation
⚫
Needle loading: start with 10-20% per dwell position
⚫
Application of combined intracavitary-interstitial
applicator: increased therapeutic window by ~10Gy




