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Skin

Late radiation effects – mouse hind-limb

Two 10-fraction

courses separated by

6 months

Effect of re-irradiation

more pronounced

after more aggressive

initial treatment

Poorer retreatment

tolerance than for

early skin reactions

Brown & Probert Radiol 1975

Reirradiation dose per fraction (Gy)

3

4

5

6

7

Severity (arbitrary units)

0

1

2

3

4

5

6

7

hind limb deformation

treatment

alone

post 10

×

5 Gy

post 10

×

4 Gy