What bowel dose constraint do you recommend if you are boosting a pelvic lymph node for prostate cancer?

Do you have a maximum bowel dose constraint?

Answer from: Radiation Oncologist at Community Practice

We generally use 55 Gy to < 5 cc based on Gyne literaturem and try to make sure the high prescribed dose is limited to one wall of bowel loop.

Comments

Radiation Oncologist at Torrance Memorial Medical Center
@Sushil Beriwal, could you share a paper or protoc...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
This is the one I was referring to. It’s a s...

Answer from: Radiation Oncologist at Academic Institution

60 to 66 Gy at 2 Gy per fraction.