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QUANTEC YR3

QuestionAnswer
Brain max and endpoint Max <60Gy. Symptomatic necrosis
Brainstem max and endpoint Max <54Gy. Necrosis/neuropathy
Brainstem vol D1-10cc<= 59Gy
Optic nerve/chiasm Max <55Gy. Optic neuropathy
Spinal cord and PRV Spinal cord max 45-50Gy. PRV 48-55Gy. Myelopathy
Cochlea Mean <=45Gy. Sensory-neural hearing loss
Parotid bilateral Mean <=25Gy. Long term salivary function <25%
Parotid unilateral Mean <=20Gy. Long term salivary function <25%
Pharyngeal constrictors Mean <=50Gy. Symptomatic dysphagia and aspiration
Larynx goals Max <66Gy (vocal dysfunction) Mean <50Gy (aspiration) Mean <44Gy (oedema) V50<27 (oedema)
Lung V20<=30% (symptomatic pneumonitis) Mean 7Gy
Oesophagus Mean <34Gy. Grade 3+ oesophagitis
Heart Mean <26Gy, Pericarditis V25<10, Long term cardiac morality
Liver Mean <30-32Gy (RILD)
Kidney (bi) Mean <15-18Gy (clinical dysfunction)
Small bowel (loops) V15<120cc (Grade 3+ toxicity)
Small bowel (cavity) V45<195cc (Grade 3+ toxicity)
Rectum V50<50 V60<35 V65<25 V70<20 V75<15 Grade 3+ toxicity
Bladder (bladder cancer) Max <65Gy (Grade 3+ toxicity)
Bladder (prostate) V65<50 V70<35 V75<25 V80<15 Grade 3+ toxicity
Penile bulb Mean dose to 95% <50Gy D90<50Gy Severe erectile dysfunction
Oral Cavity Mean <40Gy (grade 3+ mucositis)
Lenses Max 5Gy (cataracts)
Acoustics Mean <50Gy (SNHL)
TMJ Max <70Gy (trismus)
Mandible Mean <40Gy (ORN)
Heart (breast) Mean <4Gy, V20<5 (long term cardiac mortality)
Spinal cord (breast) Max 20Gy (myelopathy)
Rectall wall V40<80 (grade 3+ toxicity)
Femoral heads V30<50 V40<35 V44<5 (ORN)
chest wall, ribs, skin?
hippocampus, temoral lobe?
Created by: jrichardss
 

 



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