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Table 3 Summary of findings from previous studies and the current study for various late gastrointestinal toxicities

From: Prostate external beam radiotherapy combined with high-dose-rate brachytherapy: dose-volume parameters from deformably-registered plans correlate with late gastrointestinal complications

Toxicity

Dose-volume consideration

Reference

RT technique

Rectal toxicity

Constrain the V30-70 Gy

[28, 34–36]

HDR, EBRT

Constrain the V40 Gy and V65-80 Gy

[37]

EBRT

Constrain the V100%

[38]

HDR

Limit the D1cc-10cc

[34]

HDR

D5%-90% were not significant

[34]

HDR

Rectal bleeding

Limit the high/near maximum doses

Current study

EBRT+HDR

Limit doses > 48 Gy

Current study

EBRT+HDR

Some association with low doses (0–5 Gy)

Current study

EBRT+HDR

Constrain the V40-80 Gy

[2, 26, 28–31, 37, 39–41]

EBRT

Limit the D2cc and near maximum doses

[4, 42, 43]

EBRT+HDR, LDR, EBRT+LDR

Near maximum doses were not significant

[3]

EBRT+HDR

Limit doses > 30 Gy

[28, 30, 32, 33]

EBRT

Constrain the V30%, V50%, V80% and V90%

[44]

EBRT

Constrain the V10%, V30% and V50%

[45]

EBRT+HDR

Stool frequency

Limit the mid-high dose range (49–57 Gy)

Current study

EBRT+HDR

Limit the low-mid dose range (4–38 Gy)

[30]

EBRT

Constrain the V50-60 Gy

[26]

EBRT

Constrain the V40 Gy

[32]

EBRT

Diarrhoea

Some association with mid-high doses (50–59 Gy)

Current study

EBRT+HDR

Limit the low-mid doses (22–32 Gy)

[30]

EBRT

Completeness of evacuation

No dose range is significant

Current study

EBRT+HDR

Limit the low-mid doses (12–36 Gy)

[30]

EBRT

Anorectal pain

Some association with mid-dose range (45–48 Gy)

Current study

EBRT+HDR

Urgency/tenesmus

Limit the mid-high doses (43–64 Gy)

Current study

EBRT+HDR

Some association with low doses (25–27 Gy)

Current study

EBRT+HDR

Constrain the V40-60 Gy

[26]

EBRT

Constrain the V25-75 Gy

[37]

EBRT

Limit the low-mid doses (5–38 Gy)

[30]

EBRT

Proctitis

No dose range is significant

Current study

EBRT+HDR

Constrain the V40-70 Gy

[26]

EBRT

  1. Abbreviations: RT radiotherapy, EBRT external beam radiotherapy, HDR high-dose-rate brachytherapy, LDR low-dose-rate brachytherapy, V X Gy percentage of the rectal volume receiving at least X Gy, V X% percentage of the rectal volume receiving at least X% of the prescription dose, D X% minimum dose to the most irradiated X% of rectal volume, D Xcc minimum dose to the most irradiated X cubic centimetres of rectal volume, cc cubic centimetres