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Are there any bladder constraints for preoperative short course rectal RT?

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Mednet Member
Mednet Member
Radiation Oncology · Henry Ford Health System

While I appreciate thoughts on constraints by Fields et al., PMID 31673654 (14 patients), or even our paper from Myerson et al., PMID 24606849 (76 patients), I think these are superseded by the higher level of evidence from the RAPIDO study (462 patients w/ SCRT).

The RAPIDO study (appendix F, page 8...

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Mednet Member
Mednet Member
Radiation Oncology · Michigan Healthcare Professionals, PC

@Dr. First Last has a study for VMAT/IMRT for short course rectal and I use these constraints:

PTV

>98% dose to >93% volume
<10% getting >105%
<5% getting >110%
Max dose of 115%

Bowel

19.5 Gy to <180 mL
22.2 Gy to <100 mL
25 Gy to <65 mL
Max dose of 27.8 Gy

Femoral heads

22.2 Gy to <40%, 25 Gy to <25%
Max dose ...

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Are there any bladder constraints for preoperative short course rectal RT? | Mednet