Do you look at or constrain V10 lung dose for your IMRT esophagus patients?

Topics: Radiation Oncology • Gastrointestinal Cancers

RTOG 1010 has Lungs-PTV constraint of V10 < or = 40% (per protocol) to 50% (variation acceptable), but V10 is not often used in other thoracic malignancies.

Answer from: Radiation Oncologist at Academic Institution

I have a few general comments about dose constraints that applies not just to this question, but to normal tissue constraints generally. The first is to keep in mind that, to a great extent, the various lung constraint parameters are correlated. Therefore, in many situations, it might not matter wh...

Comments

Radiation Oncologist at Northeast Oklahoma Cancer Center
Most often MLD and/or V20 constraints cannot be me...

Radiation Oncologist at Cancer Care Group
Agree with Dr. @Frederick W. Willison's comme...

Radiation Oncologist at Kings County Hospital Center
Agree with Dr. @Frederick W. Willison's comments. ...

Radiation Oncologist at University of North Carolina at Chapel Hill
One does need to be flexible. That is why I made t...

Radiation Oncologist at Northeast Oklahoma Cancer Center
Good comments, Dr. @Joel E. Tepper, thank you. Th...

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