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Accumulated dose

a case study (1)

D = 23 x 1.8 Gy

D = 15 x 2.5 Gy

P

P

D

received

EQD

2/2

EQD

2/2

D

tolerated

16.4

11.1

38.9

35.6

21.0

15.3

34.7

33.0

25.7

20.0

30.0

30.0

31.7

26.8

23.2

25.2

re-irradiation 2017 - D. Verellen

34.6

30.3

19.7

22.5

37.4

33.9

16.1

19.5

Tolerance EQD

2/2

= 50.0 Gy

Into the optimization