Radiation Oncology/Toxicity/NCCN



NCCN NSCLC SABR Constraints

2019 NCCN NSCLC Guidline

Lung

Organ Constraint 1 Fx 3 Fx 4 Fx 5 Fx
Spinal Cord Dmax 14 18 26 30
Esophagus Dmax 15.4 27 30 105%
Brachial Plexus Dmax 17.5 24 27.2 32
Heart/Pericardium Dmax 22 30 34 105%
Great Vessels Dmax 37 -- 49 105%
Trachea & Proximal Bronchi Dmax 20.2 30 34.8 105%
Ribs Dmax 30 30 40 --
Skin Dmax 26 24 36 32
Stomach Dmax 12.4 -- 27.2 --