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Reactions Depend On:

Total Dose and Total Volume of tissue irradiated

Dose per Fraction/Treatment Time

Treatment Planning (2D,3D,IMRT)

Previous Treatment (ie. Sx)

Anatomical Site (proximity to critical structures) +Individual Tolerance

Doses of normal tissues

Other Treatment Modalities (Chemotherapy increases mucositis)

Co Morbidities - impaired vascularity – DM , HTN