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5

Challenge: Midline block dose calculation

Which dose does midline block fields deliver to HR-CTV and IR-CTV

(D90 and D100)?

Does midline blocked fields deliver dose to bladder, rectum and

sigmoid (D2cc)?

Challenge for dose calculation:

BT and EBRT physical doses cannot be directly added and transformed to

EQD2 dose

Anatomy changes between EBRT and BT

+

Block

= ?