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. 2018 Apr 4;10(4):e2423. doi: 10.7759/cureus.2423

Table 1. Patient Clinical Characteristics.

Fx(s): fraction(s); GTV: gross tumor volume ; PBT: proximal bronchial tree;  PTV: planning target volume

  Case #1 Case #2 Case #3
Age (years) 66 87 69
Prescribed Dose # of Fxs 50 Gy in 4 fx 50 Gy in 5 fx 48 Gy in 4 fx
Primary Disease Lung Adenocarcinoma Lung Adenocarcinoma Pancreatic Adenocarcinoma
Tumor Staging T3N1M1a T1bN0M0 Metastatic
Location within the Lung Central Peripheral Peripheral
PTV Coverage Constraint > 95% @ 50.0 Gy > 95% @ 50.0 Gy > 95% @ 48.0 Gy
Pulmonary Constraint #1 < 1500 cc @ 11.6 Gy (Both Lungs – GTV) < 1500 cc @ 12.5 Gy (Both Lungs – GTV) < 4 cc @ 15.6 Gy PBT
Pulmonary Constraint #2 N/A < 1000 cc @ 13.5Gy (Both Lungs – GTV) N/A
Spinal Cord Constraint #1 Max Dose < 26.0 Gy Max Dose < 26.0 Gy < 0.35cc @ 20.8 Gy
Spinal Cord Constraint #2 < 0.35 cc @ 20.8 Gy < 0.25 cc @ 22.5 Gy < 1.2 cc @ 13.6 Gy
Spinal Cord Constraint #3 < 1.2 cc @ 13.6 Gy < 0.5 cc @ 13.5 Gy N/A
Chest Wall / Ribs N/A Chest Wall < 30 cc @ 40.0 Gy Ribs < 1 cc @ 32.0 Gy
Esophagus < 5 cc @ 18.8 Gy < 5 cc @ 27.5 Gy < 5 cc @ 18.8 Gy
Heart < 15 cc @ 28.0 Gy < 15 cc @ 32.0 Gy < 15 cc @ 28.0 Gy
GTV Volume Initial (cc) 6.91 41.39 1.91
GTV Volume Final (cc) 8.23 36.97 1.64
GTV Volume % Change +19% -11% -14%