Figure 5.
Absolute volume DVH showing old CNAO D LEM I|1% <30 Gy (RBE) constraint (cross) and the translated Shirai constraints D LEM I|0.7 cm3 <41 Gy (RBE) and D LEM I|0.1 cm3 <49 Gy (RBE) (squares, error bars = 95% CI), converted into EQD2 (assuming α/β ratio = 2 Gy) in comparison with the EQD2 constraints applied at HIT as reported by Nikoghosyan et al. (21): D LEM I|1% <54 Gy (RBE) and D LEM I|max <60 Gy (RBE) (circles). As an approximation to the absolute volume relating to the D 1% constraints, the median brainstem volume in our data set (26 cm3) was used. The translated constraints are more closely related to the constraints used at HIT than the old CNAO constraint.