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Table 2 Dose Constraints.

From: Pulmonary magnetic resonance-guided online adaptive radiotherapy of locally advanced non-small-cell lung cancer: the PUMA trial

Organ at risk

Dose constraints (30–35 fractions)

Brachial plexus

Dmax ≤ 60 Gy

Esophagus

Dmean ≤ 34 Gy

Dmax ≤ 105% of the prescribed dose

Heart

Dmean ≤ 20 Gy

V50Gy ≤ 25%

Non-GTV lung

V20Gy < 35–40%

Dmean ≤ 20 Gy

Spinal cord

Dmax ≤ 45 Gy

  1. Dmax: maximum dose (appropriate near-maximum dose constraints may be used instead), Dmean: mean dose, V20/50Gy: Relative organ volume receiving > 20/50 Gy