Serial Tissue Volume (mL) Volume Max (Gy) Max Point Dose (Gy) Endpoint (Grade 3)

FIVE-FRACTION TREATMENT
 
Optic pathway <0.2 20(4Gy/fx) 25(5Gy/fx) Neuritis
Cochlea 27.5(5.5Gy/fx) Hearingloss
Brainstem <1 26(5.2Gy/fx) 31(6.2Gy/fx) Cranialneuropathy
Spinal cord <0.25 22.5(4.5Gy/fx) 30(6Gy/fx) Myelitis
<1.2 13.5(2.7Gy/fx)
Cauda equina <5 30(6Gy/fx) 34(6.4Gy/fx) Neuritis
Sacral plexus <3 30(6Gy/fx) 32(6.4Gy/fx) Neuropathy
Esophagus <5 27.5(5.5Gy/fx) 35(7Gy/fx) Stenosis/fistula
Ipsilateral brachial plexus <3 30(6Gy/fx) 32(6.4Gy/fx) Neuropathy
Heart/pericardium <15 32(6.4Gy/fx) 38(7.6Gy/fx) Pericarditis
Great vessels <10 47(9.4Gy/fx) 53(10.6Gy/fx) Aneurysm
Trachea and ipsilateral bronchus <4 18(3.6Gy/fx) 38(7.6Gy/fx) Stenosis/fistula
Skin <10 30(6Gy/fx) 32(6.4Gy/fx) Ulceration
Stomach <10 28(5.6Gy/fx) 32(6.4Gy/fx) Ulceration/fistula
Duodenum <5 18(3.6Gy/fx) 32(6.4Gy/fx) Ulceration
Jejunum/ileum <5 19.5(3.9Gy/fx) 35(7Gy/fx) enteritis/obstruction
Colon <20 25(5Gy/fx) 38(7.6Gy/fx) colitis/fistula
Rectum <20 25(5Gy/fx) 38(7.6Gy/fx) proctitis/fistula
Bladder wall <15 18.3(3.65Gy/fx) 38(7.6Gy/fx) cystitis/fistula
Penile bulb <3 30(6Gy/fx) 50(10Gy/fx) Impotence
Femoral heads (right and left) <10 30(6Gy/fx) Necrosis
Renal hilum/vascular trunk <2/3volume 23(4.6Gy/fx) Malignanthypertension

Parallel Tissue
Critical Volume (mL) Critical Volume Dose Max (Gy) Endpoint (Grade 3)
Lung (right and left) 1,500 12.5(2.5Gy/fx) Basiclungfunction
Lung (right and left) 1000 13.5(2.7Gy/fx) Pneumonitis
Liver 700 21(4.2Gy/fx) Basicliverfunction
Renal cortex (right and left) 200 17.5(3.5Gy/fx) Basicrenalfunction