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Optic chiasm homogeneity

Excessive dose to optic chiasm risks optic neuropathy,

potential loss of sight, blindness

Clinical Scenario:

Pituitary Tumour, prescribed dose 50 Gy in 25 fractions

Maximum dose to optic chiasm 55 Gy

QUANTEC 55Gy <3% risk of optic neuropathy

‘safe’?