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Sequential vs concomitant boosting

- Existence of a dose effect vs Major

response/pCR….boosting GTV

- Seq. vs SIB: different radiobiology

meaning

- SIB with conventional or moderate

hypo

- IMRT better than 3DCRT

- From the point of view of plan

optimization:

Concomitant boosting is more efficient:

better control of the dose to OARs,

better conformity index ansd dose

homogeneity in PTVs

03/01/13

Engels 2013

46Gy/23fr, SIB 55.2Gy (no CHT)