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German Cancer Consortium (DKTK)

DOSE CONSTRAINTS

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