Table 1.
Critical organ dose-volume limits for central and superior non–small-cell lung cancer lesions using stereotactic body radiation therapy to deliver 50 Gy in four fractions
| Organ | Volume, cc | Total dose (dose per fraction), Gy |
|---|---|---|
| Esophagus | ≤ 1 | 35 (8.8) |
| ≤ 10 | 30 (7.5) | |
| Brachial plexus* | Any point | <40 |
| ≤ 1 | 35 (8.8) | |
| ≤ 10 | 30 (7.5) | |
| Trachea | ≤ 1 | 35 (8.8) |
| ≤ 10 | 30 (7.5) | |
| Main bronchus and bronchial tree | ≤ 1 | 40 (10) |
| ≤ 10 | 35 (8.8) | |
| Heart | ≤ 1 | 40 (10) |
| ≤ 10 | 35 (8.8) | |
| Whole lung (right & left, excluding gross tumor volume) | V20 | <20% |
| V10 | <30% | |
| V5 | <40% | |
| Major vessels | ≤ 1 | 40 (10) |
| ≤ 10 | 35 (8.8) | |
| Skin (to 5 mm) | ≤ 1 | 40 (10) |
| ≤ 10 | 35 (8.8) | |
| Spinal cord | ≤ 1 | 20 (5) |
| ≤ 10 | 15 (3.8) |
Added after a case of neuropathy, as shown in Figure 3.