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Table 1 Critical organ dose-volume limits for stereotactic ablative radiotherapy to 50 Gy given in 4 fractions

From: Clinical outcome and predictors of survival and pneumonitis after stereotactic ablative radiotherapy for stage I non-small cell lung cancer

Organ, Limit, and Volume

Maximum dose limits

Esophagus

Dmax

35 Gy

≤ 1 cm3

30 Gy

≤ 5 cm3

20 Gy

Brachial plexus

Dmax

40 Gy

≤ 1 cm3

35 Gy

≤ 5 cm3

30 Gy

Trachea

Dmax

45 Gy

≤ 1 cm3

35 Gy

≤ 5 cm3

30 Gy

Main bronchus and bronchial tree

≤ 1 cm3

40 Gy

≤ 5 cm3

35 Gy

Heart

≤ 1 cm3

40 Gy

≤ 5 cm3

35 Gy

Total lung volume*

V20 Gy(RBE)

< 20% of total lung volume

V10Gy(RBE)

< 30% of total lung volume

V5Gy(RBE)

< 40% of total lung volume

Major vessels

Dmax

45 Gy

≤ 1 cm3

40 Gy

≤ 5 cm3

35 Gy

Skin

≤ 1 cm3

35 Gy

≤ 5 cm3

30 Gy

Chest wall

≤ 10 cm3

45 Gy

≤ 30 cm3

35 Gy

Spinal cord

Dmax

25 Gy

≤ 5 cm3

20 Gy

  1. *Defined as right plus left lungs minus the gross tumor volume.