Table 1.
Critical Structure Dose Limits | ||||
---|---|---|---|---|
Serial Tissue | Volume | Volume Max (Gy) | Max Point Dose (Gy) | Endpoint (≥ Grade 3) |
Spinal Cord and medulla | < 0.35 cc | 10 Gy | 14 Gy | myelitis |
< 1.2 cc | 7 Gy | |||
Spinal Cord Subvolume (5-6 mm above and below level treated) | < 10% of subvolume | 10 Gy | 14 Gy | myelitis |
Skin | < 10 cc | 23 Gy | 26 Gy | ulceration |
Stomach | < 10 cc | 11.2 Gy | 12.4 Gy | ulceration/fistula |
Duodenum* | < 5 cc < 10 cc |
11.2 Gy 9 Gy |
12.4 Gy | ulceration |
Jejunum/Ileum* | < 5 cc | 11.9 Gy | 15.4 Gy | enteritis/obstruction |
Colon* | < 20 cc | 14.3 Gy | 18.4 Gy | colitis/fistula |
Liver | 700 cc | 9.1 Gy | Basic Liver Function | |
Renal cortex (Right & Left) | 200 cc | 8.4 Gy | Basic renal function |