German Cancer Consortium (DKTK)
DOSE CONSTRAINTS FOR SBRT OF CENTRAL LC
➢
Maximum tolerated doses and optimum fractionation for mediastinal structures is
currently unknown
➢
Toxicity for SBRT delivered to central tumors is not well documented
➢
Serious doubts in the validity of available data, mostly coming from retrospective
series with small sample sizes
➢
Lacking, incomplete or inconsistent reporting on dose specification
➢
Questionable use of EqD2, α/ß-ratios, LQM estimates
Summary of current experiences in dose/ fraction - toxicity coherences after
SBRT to the mediastinal structures that lead to LungTech normal tissue constraints