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0

100

200

300

400

500

600

700

bowel 30 Gy

bowel 42.75 Gy

volume in cc

conformal

imrt

0

20

40

60

80

100

120

bladder 30 Gy

bladder 42.75 Gy

conformal

imrt

0

20

40

60

80

100

rectum 30 Gy

rectum 42.72 Gy

conformal

imrt

Gain of IMRT is organ sparing!

Portelance et al 2001, Van de Bunt et al 2006, Lukovich et al

3D CRT vs IMRT

14 patients with cervical cancer, IMRT: 7 beams, 10 MV