Case 1 | Case 1 | Case 2 | Case 3 | Case 4 | |
---|---|---|---|---|---|
1st course | 2nd course | ||||
Prescribed dose (Gy), number of fractions | 54 Gy, 3 | 54 Gy, 3 | 60 Gy, 5 | 54 Gy, 3 | 60 Gy, 5 |
MLD – both lungs (Gy) | 3.3 | 3.6 | 4.4 | 2.5 | 6 |
V5 – both lungs, (%) | 15.6 | 21.5 | 18.9 | 10.2 | 27.1 |
V20 – both lungs, (%) | 4.9 | 3.2 | 5.7 | 2.9 | 8 |
MLD – transplanted lung (Gy) | 4.5 | 0.8 | 2.2 | 0.6 | 1.8 |
V5 – transplanted lung, (%) | 20.4 | 1.4 | 9.6 | 0.1 | 6.1 |
V20 – transplanted lung, (%) | 7 | 0 | 2.3 | 0 | 0 |
Organ | Constraints |
---|---|
Total Lung Dose (both lungs) | V20 < 10% |
Spinal Cord | Max dose < 18 Gy |
Esophagus | Dose to 1cc < 27 Gy |
Heart | Dose to 1cc < 30 Gy |