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




