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Very limited gain in TCP for doses >100Gy BED

Grills JTO 2010; Ohiri IJROBP 2012

0

20

40

60

80 100 120 140 160 180 200

BED

10

Perscription dose PTV (Gy)

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

Local control

Guckenberger Radiother Oncol 2013

= 3 x 18Gy

What dose is now actually required?

n=505

n=395

13.06.2016

Matthias Guckenberger - ESTRO SBRT Course 2016 Athens

17