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. 2020 Dec 10;10(12):e042465. doi: 10.1136/bmjopen-2020-042465

Table 1.

This table demonstrates the normal tissue constraints used in the radiation therapy planning process

Structure Metric Per protocol Source
Bony spinal canal Max dose 0.03cc ≤50 Gy 13
Oesophagus Max dose 0.03cc <63 Gy 13
Mean <34 Gy 13
Heart V40 <30%
V50 <25% 33
Mean <20 Gy 5
Max dose 0.03cc <70 Gy 13
Brachial plexus Max dose 0.03cc <63 Gy 13
Proximal bronchial tree Max dose 1.0cc <64.5 Gy 3
Great vessels (normal) Max dose 0.03cc <80 Gy 34
Great vessels (tumour involved) Max dose 0.03cc <70 Gy 34
Lung dose constraints
Structure Metric Per protocol Definition Source
Lungs (anatomic) Mean <20 Gy Mean dose to the whole anatomic lung 13
Left+right lung-IGTV V30 <30% Volume of structure (%) receiving ≥30 Gy 13 35
V20 <35% Volume of structure (%) receiving ≥20 Gy 13 35
V5 <66% Volume of structure receiving ≥5 Gy 13 35