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DOSE AND FRACTIONATION

- combination treatment EBT and BT -

palliative approach

EBT: 45-46 Gy with 1.8-2 Gy per fraction

30 Gy with 3 Gy per fraction

BT:

10-16 Gy in 2 fractions

10 Gy in 1 fraction

curative approach

EBT: 55-60 Gy with 2 Gy per fraction

BT: 10-15 Gy at 5 mm in 2-3 fractions

time interval

EBT-BT: 1-2 weeks

BT: 1-2 weeks

Fast symptom relief

BT1-EBT-BT2