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Bowel including duodenum
Extended field RT
• For duodenum IMRT limiting V55 to less than 15% -
statistically significant differences in 3-year rate of actuarial
duodenal toxicity
• IMRT allows sufficient sparing of the small bowel to allow
dose escalation to 60 – 65 Gy
Verma
IJROBP, 2014
Poorvu
IJROBP, 2013