Table 3.
NTCP parameters
Organ | End point | TD50 (Gy) | m | n | Source |
---|---|---|---|---|---|
Principal rectal NTCP evaluation | |||||
Rectum | Grade 2+ late toxicity or rectal bleeding | 76.9 | 0.13 | 0.09 | Michalski et al (21) |
Supplementary anorectal NTCP evaluation | |||||
Rectum | Severe rectal bleeding†- all patients | 81 | 0.14 | 0.13 | Peeters et al (22) |
Rectum | Severe rectal bleeding†- patients without history of abdominal surgery | 85 | 0.14 | 0.11 | Peeters et al (22) |
Rectum | Severe rectal bleeding†- patients with history of abdominal surgery | 78 | 0.14 | 0.11 | Peeters et al (22) |
Rectum | Severe frequency‡- all patients | 84 | 0.24 | 0.39 | Peeters et al (22) |
Anus∗ | Severe anal incontinence§, all patients | 105 | 0.43 | 1 | Peeters et al (22) |
Anus∗ | Severe anal incontinence§, patients without history of abdominal surgery | 157 | 0.45 | 1 | Peeters et al (22) |
Anus∗ | Severe anal incontinence§, patients with history of abdominal surgery | 74 | 0.45 | 1 | Peeters et al (22) |
Bladder | Contracture/volume loss | 80 | 0.11 | 0.5 | Burman et al (37) |
Femoral heads | Necrosis | 65 | 0.12 | 0.25 | Burman et al (37) |
Abbreviations: m = dose-response parameter; n=volume effect parameter; NTCP = normal tissue complication probability; TD50 = Dose resulting in 50% probability of complication in a uniformly irradiated tissue.
Anus was defined as the most caudal 3 cm of the rectal structure.
Defined as bleeding that requires transfusion or laser treatment.
Defined as stool frequency of 6 or greater times per day.
Defined as loss of mucous, stools or blood necessitating the use of pads at least twice per week.