Skip to main content

Table 3 Published dose constraints that are plotted in the DVH Risk Map in Fig. 2 of the paper

From: Estimating the tolerance of brachial plexus to hypofractionated stereotactic body radiotherapy: a modelling-based approach from clinical experience

# Fractions

Volume cc

Volume %

cc or % limit Gy

Max limit Gy

Mean limit Gy

Approx # AE ≥ G3

Approx # Pts dose

# Pts in study

Refs

Notes

1

5

 

14.4

  

0

 

33

[43, 44]

RTOG 0631, limit is for sacral plexus

1

0.03

 

18

  

0

 

33

[43, 44]

RTOG 0631, limit is for sacral plexus

1

3

 

14

     

[43, 44]

RTOG 0631

1

3

 

14

  

1

 

33

[44]

One G3 possible radiosurgery-related AE (neck pain)

1

0.03

 

17.5

     

[43, 44]

RTOG 0631

1

0.03

 

17.5

  

1

 

33

[44]

One G3 possible radiosurgery-related AE (neck pain)

1

   

17.5

    

[45, 46]

RTOG 0915, TG101

1

   

16

    

[47]

Also for sacral plexus

1

3

 

14.4

     

[47]

Also for sacral plexus

1

3

 

14

     

[45, 46]

RTOG 0915, TG101

1

   

10

 

0

 

23

[48, 49]

 

1

   

8

 

0

 

32

[50]

 

3

   

56.7

    

[51]

RTOG 1021 acceptable deviation

3

   

27

    

[52]

 

3

   

26

 

7

 

37

[1, 53]

100 Gy BED3, 14% risk, 46% above, 8% below

3

   

24

    

[46, 47, 51, 54,55,56,57,58,59,60,61,62,63,64,65]

RTOG 0618, 1021, Accuray STARS, Also for sacral plexus, TG101

3

   

24

 

0

 

10

[56]

 

3

   

24

 

0

 

38

[52, 62]

 

3

   

24

 

0

 

79

[63]

 

3

   

24

 

0

 

70

[65]

 

3

3

 

22.5

     

[47]

Also for sacral plexus

3

3

 

20.4

     

[46, 51]

TG101, RTOG 1021

4

   

42.5

 

1

1

27

[66]

20% of brachial plexus > 40gy in one pt who had G3 AE

4

 

20%

40

  

1

1

27

[66]

20% of brachial plexus > 40gy in one pt who had G3 AE

4

   

40

 

1

 

27

[53, 59, 66, 67]

Accuray STARS, 1 AE at 40 Gy described in Chang 2015

4

1

 

35

    

27

[59, 66]

Accuray STARS

4

10

 

30

    

27

[59, 66]

Accuray STARS

4

   

26

    

[1, 53]

This limit has been attributed to 3–4 fractions

4

   

35

 

3

9

82

[68]

 

4

0.2

 

30

  

3

7

82

[68]

 

4

   

32

    

[52]

 

4

   

27.2

    

[45, 69]

RTOG 0915

4

3

 

23.6

     

[45]

RTOG 0915

5

   

45

 

1

 

12

[63]

 

5

   

35

    

[52]

 

5

1

 

40

    

50

[70]

 

5

   

32

    

[47, 71]

RTOG 0813, QOD, Also for sacral plexus

5

   

30.5

    

[46]

TG101

5

   

30

    

[72]

 

5

   

29.6

    

[69]

 

5

3

 

30

     

[47, 71]

RTOG 0813, QOD, Also for sacral plexus

5

3

 

27

     

[46]

TG101

7

   

35

    

[72]

 

8

   

37

 

0

 

46

[73]

 
  1. cc cubic centimeters, Approx approximate, AE adverse event (brachial plexopathy), G3 grade 3 or higher, Pts patients, Rx received, Refs references, RTOG radiation therapy oncology group, TG task group, QOD every other day, BED biological effective dose