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- Proven dose-effect response in

RT+CHT regimens… boosting the

tumor/mesorectum may increase pCR

and major response rates

- Toxicity limits: exploring feasible

protocols

- Exploiting acceleration (importance of

Adaptive RT: background I

repopulation) …reducing treatment time,

Hyper/hypo in combination with IMRT

(?)

- Evidence of relevant shrinkage during

RT+CHT (especially in regimens

including oxaliplatin), visible with MRI

- Can we exploit T shrinkage to safely

boost the residual T ?

Appelt 2012