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Very Low Dose Rate

• Example PCa with

125

I implant:

• 150 Gy with initial dose rate of 7 cGy/h

• If Tpot =

6 days

(better 25days?):

Critical dose =120 Gy reached after 140 days

(23.5 times Tpot)

when Dose Rate is 1.4 cGy/h

Compensation dose to overcome repopulation

M =

47 Gy (2 Gy.t/Tpot)

Effective dose is 120 -

47= 73

Gy not taking into

account variations in RBE due to DRE