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18

Unsolved questions

• Role of brachytherapy

• Management of inguinal region

• Type and scheme of CT

• Optimizing RT delivery

RTOG 0529

• Prospectively assess the utility of DP-IMRT in

reducing the acute morbidity of 5FU/MMC

chemoradiation

– Primary endpoint: reduction of grade 2+ GI and

GU AEs by at least 15%.

– Secondary endpoints:

• Potential reduction of all AEs with DP-IMRT

• The investigator’s ability to perform DP-IMRT

within the radiation planning guidelines

delineated

Kachnik, IJROBP 2013c