Table 1. Dose Constraints to Organs at Risk.
Target | Current Dose-Volume Constraints for Standard Fractionated Regimens at our Institution (2-Gy Fractions to 60-74 Gy) | Dose-Volume Constraints in Current Study [BED dose assuming α/β=3 with 15-fraction regimen) |
---|---|---|
Total Lung | V20 <40% Mean Lung Dose <20 Gy |
V17<40% Mean Lung Dose <17.5 Gy(RBE) [17.1 Gy(RBE)] |
Liver | 40% <50 Gy | 40% <40 Gy(RBE) [38.9 Gy(RBE)] |
Kidneys (both) | 1/3 <20 Gy | 1/3 <18 Gy(RBE) [17.1 Gy(RBE)] |
Esophagus | 20% <70 Gy 50% <50 Gy |
20% <55 Gy(RBE) [52.65 Gy(RBE)] 50% <40 Gy(RBE) [38.9 Gy(RBE)] |
Heart | 50% <30 Gy 40% <40 Gy |
50% <25 Gy(RBE) [24.6 Gy(RBE)] 40%<32 Gy(RBE) [31.9 Gy(RBE)] |
Spinal Cord | Maximum dose 45 Gy | Maximum dose 36 Gy(RBE) [35.4 Gy(RBE)] |
Brachial Plexus | Maximum dose <60 Gy | Dose to <1 cm3 must not exceed 50 Gy(RBE) [45.6 Gy(RBE)] |