AROI-ESTRO GYN Teaching Course

Dose Constraints : Literature

Study

Bladder Constraints

Rectum constraints

Sigmoid constraints

Femoral Heads

Jhingran et al. (RTOG 0418)

V45<35% V45<60%

V30<15%

Gandhi et al. (AIIMS)

V40<40% Dmax <50Gy

V40<40% Dmax <50Gy

Mouttet – Audouard et al (Centre Oscar Lambret)

V40<50% V45<20% Dmax<60Gy

V40<50% V45<20% Dmax<60Gy

V40<50% V45<20% Dmax<60Gy

Mabuchi et al.

V50<35% V50<35%

V30<20%

SUMMARY

V 40 < 35 – 40% V40 < 40- 50% V40< 40 - 50%

Bowel Bag :V45 < 200 cc for <10% probability for > Gr 3 toxicity