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Techniques for external beams optimization:

o

3DCRT

o

IMRT (vs 3DCRT)

o

Rotational techniques (IMAT/VMAT, Tomotherapy)

o

Sequential and simultaneous boosting

o

IGRT and potentials for plan adaptation

o

Sparing bowel and bladder

o

Sparing bone marrow (haematological tox)

o

Sparing genitalia

o

Skin toxicity

o

Conclusive remarks

Summary (addition peculiar to anal cancer…)

Peculiar issues

with respect to

rectal ca