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ESTRO

2017

Five versus six fractions of radiotherapy per week

for squamous-cell carcinoma of the head and neck

(IAEA-ACC study): a randomized, multicentre trial

Overgaard et al. Lancet Oncol, 2010

IIIIII IIIIII IIIIII IIIIII IIIIII IIIIII

66-70 Gy/ 2.0 Gy/ 5.5-6.0 w

IIIII IIIII IIIII IIIII IIIII IIIII IIII

66-70 Gy/ 2.0 Gy/ 6.5-7.0 w

ESTRO

2017

EORTC - Head & Neck (22851)

SCC, T2-4 N0-3 M0, WHO 0-2 (n=500)

IIIII I IIIII IIII

IIIII I IIIII IIII

IIIII I IIIII IIII

72 Gy/ 3 x 1.6 Gy/ ti 4 h/ Pause 12-14d/ 5w (n=247)

Horiot et al.,

Radiother. Oncol.

44: 111-121, 1997

Accelerated RT:

• Tumor control increased

• Survival identical

• Very severe early NT reactions

IIIII IIIII IIIII IIIII IIIII IIIII IIIII

70 Gy/ 1.8-2.0 Gy/ 7 w (n=253)