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Table 1 Hippocampal dose-volume constraints and achieved doses in representative HA WBRT planning studies

From: Why and how to spare the hippocampus during brain radiotherapy: the developing role of hippocampal avoidance in cranial radiotherapy

Author, year

Clinical situation

RT system

No.

Fractionation

Hippocampal constraints

Hippocampal doses

α/β

Dmax

 

Dmax

Dmean

Dmedian

 

Gutierrez, 2007[47]

WBRT

HT

10

15 × 2.15 Gy

6 Gy

 

-

5.86 Gy2

5.34 Gy2

2

Gondi, 2010[37]

WBRT

HT

5

10 × 3.0 Gy

6 Gy

3 Gy ≤ 20%

12.8 Gy

-

5.5 Gy

2

LINAC

11 Gy

9 Gy ≤ 40%

15.3 Gy

7.8 Gy

2

Hsu, 2010[50]

WBRT + SIB

LINAC

10

15 × 2.15 Gy (SIB á 4.2 Gy)

-

Dmean < 6 Gy2

-

5.23 Gy2

-

2

Marsh, 2010[51]

PCI

HT

11

15 × 2.0 Gy

15 Gy

 

-

12.5 Gy

-

-

WBRT

11

14 × 2.5 Gy

15 Gy

  

14.3 Gy

Marsh, 2010[52]

PCI

HT

10

15 × 2.0 Gy

  

-

11.5 Gy

-

-

WBRT

10

14 × 2.5 Gy

-

-

-

11.8 Gy

-

-

Van Kesteren, 2012[39]

WBRT

LINAC 3D-CRT

10

12 × 2.5 Gy

  

13.5 Gy

6Gy

-

10

Nevelsky, 2013[46]

WBRT

LINAC IMRT

10

10 × 3.0 Gy

16 Gy

D100% < 9 Gy

14.35 Gy

-

-

-

Awad, 2013[49]

WBRT + SIB

VMAT RA

30

5-15fx

-

 

32.2 Gy

20.4 Gy

21.9 Gy

-

Prokic, 2013[48]

WBRT + SIB

VMAT RA

10

12 × 2.5 Gy BM 12 × 4.25

-

 

12.33 Gy (D2%)

7.55 Gy

7.15 Gy

H 2

BM 10

WBRT + FSRT

VMAT RA

10

12 × 2.5 Gy + FSRT 2 × 9 Gy

-

 

15.82 Gy (D2%)

9.8 Gy

9.34 Gy

H 2

BM 10

  1. 3D-CRT: three dimensional conformal radiotherapy; RA: Rapid Arc; HT: helical tomotherapy; FSRT: fractionated stereotactic radiotherapy; Dmax: maximal dose; Dmean: mean dose; D100%: dose in 100% of volume; D2%: dose in 2% of volume; Dmedian: median dose; H: hippocampus.