AROI-ESTRO GYN Teaching Course

Comparison of various studies

SPECT IMRT

Anal Ca Mell

Cervix Mell

TMH Whole bone

TMH Free hand

Whole pelvis

88(5.18) 79.6(5.2) 62.9(6.5) 40(0.45)

V10 V20 V30 V40

100 88 66 23

85(15) 75(17) 56(19) 32(17)

91(3.6) 74(6.1) 53(7.5) 28(10.3)

86.5 (6.8) 77.5 (6.2) 62.5 (6.5) 40.5 (8.4)

Dose Constraints: BM Sparing IMRT (Grade 2 HT toxicity)

- No definite constraints available

- V10 < 90% (INTERTECC)

- V40 < 37- 40% (RTOG; TMH)