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What dose is needed for the positive nodes?
Summary
From: Kupets R, et al. Gynecol Oncol 2002
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Evidence suggests: 55 - 60 Gy
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“Elective” dose: 45 – 50 Gy + boost 10 to 20 Gy
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Don’t forget BT dose contribution
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Don’t forget normal tissue constraints!!
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It’s not only a matter of dose !
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Initial SUV and SUV regression during EBRT
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Volume or diameter regression during EBRT