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23 pts dose level I (5.7 Gy), 18 pts dose level II (14.2 Gy) in first 10 fractions.

2 cases of DLT at dose level I (grade 4 dermitis & dysphagia).

1 toxic death at dose level II (not RT-related?).

In 4 of 9 relapsed patients, the site of relapse was in the PTV-PET.

PET-guided dose escalation appears to be well-tolerated?

UZ Gent Phase I trial

Madani I. et al. Int J Radiat Oncol Biol Phys 2007.

Duprez F. et al. Int J Radiat Oncol Biol Phys 2011.