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QUANTEC Flashcards

1
Q

brain lower max dose

A

< 60Gy
<3%
symptomatic necrosis

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2
Q

brain middle max dose

A

72Gy
5%
symptomatic necrosis

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3
Q

brain upper max dose

A

90Gy
10%
symptomatic necrosis

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4
Q

brain stem lower max dose

A

< 54Gy
<5%
neuropathy or necrosis

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5
Q

brain stem middle tolerance dose

A

dose to 1-10cc </= 59Gy
5%
neuropathy or necrosis

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6
Q

brain stem upper max dose

A

< 64Gy to point dose &laquo_space;1cc
<5%
neuropathy or necrosis

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7
Q

optic nerve/chiasm lower max dose

A

55Gy
tox<3%
optic neuropathy

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8
Q

optic nerve/chiasm middle max dose

A

55-60Gy
3-7%
optic neuropathy

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9
Q

optic nerve/chiasm upper max dose

A

> 60Gy
7-20%
optic neuropathy

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10
Q

spinal cord lower max dose

A

50Gy
0.2%
myelopathy

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11
Q

spinal cord middle max dose

A

60Gy
6%
myelopathy

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12
Q

spinal cord higher max dose

A

69Gy
50%
myelopathy

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13
Q

cochlea mean dose

A

45Gy
tox<30%
sensory-neural hearing loss

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14
Q

cochlea mobius tolerance limit

A

V55 < 5%

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15
Q

parotid bilat lower mean dose

A

25Gy

tox <25%

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16
Q

parotid bilat upper mean dose

A

39Gy

tox <25%

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17
Q

parotid unilat mean dose

A

20Gy

tox <25%

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18
Q

pharyngeal constrictors mean dose

A

50Gy
tox<20%
symptomatic dysphagia & aspiration

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19
Q

larynx max dose

A

66Gy
tox<20%
vocal dysfxn

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20
Q

larynx upper mean dose

A

50Gy
<30%
aspiration

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21
Q

larynx lower mean dose

A

44Gy
tox <20%
edema

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22
Q

larynx volume dose

A

V50 < 27%
<20%
edema

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23
Q

lung volume dose

A

V20 less than 30%
tox<20%
symptomatic pneumonitis

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24
Q

lung 1st mean dose

A

7Gy
5%
symptomatic pneumonitis

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25
Q

lung 2nd mean dose

A

13Gy
10%
symptomatic pneumonitis

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26
Q

lung 3rd mean dose

A

20Gy
20%
symptomatic pneumonitis

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27
Q

lung 4th mean dose

A

24Gy
30%
symptomatic pneumonitis

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28
Q

lung 5th mean dose

A

27Gy
40%
symptomatic pneumonitis

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29
Q

esophagus mean dose

A

<34Gy
5-20%
grade 3+ esophagitis

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30
Q

esophagus lower volume dose

A

V35 < 50%
<30%
grade 2+ esophagitis

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31
Q

esophagus middle volume dose

A

V50 < 40%
<30%
grade 2+ esophagitis

32
Q

esophagus upper volume dose

A

V70 < 20%
<30%
grade 2+ esophagitis

33
Q

heart/pericardium mean dose

A

< 26Gy
<15%
pericarditis

34
Q

heart/pericardium volume dose

A

V30 < 46%
<15%
pericarditis

35
Q

heart volume dose

A

V25 < 10%
<1%
long term cardiac mortality

36
Q

normal liver gtv lower mean dose

A

30-32Gy
tox<5%
RILD

37
Q

normal liver gtv upper mean dose

A

42Gy
tox <50%
RILD

38
Q

HCC/Child Pugh A liver gtv lower mean dose

A

28Gy
tox<5%
RILD

39
Q

HCC/Child Pugh A liver gtv upper mean dose

A

36Gy
tox<50%
RILD

40
Q

kidney bilat lower mean dose

A

15-18Gy
tox<5%
clinical dysfxn

41
Q

kidney bilat upper mean dose

A

28Gy
tox<50%
clinical dysfxn

42
Q

kidney bilat 1st volume dose

A

V12 < 55%
<5%
clinical dysfxn

43
Q

kidney bilat 2nd volume dose

A

V20 < 32%
<5%
clinical dysfxn

44
Q

kidney bilat 3rd volume dose

A

V23 < 30%
<5%
clinical dysfxn

45
Q

kidney bilat 4th volume dose

A

V28 < 20%
<5%
clinical dysfxn

46
Q

stomach volume dose

A

D100 < 45Gy
<7%
ulceration

47
Q

small bowel individual loops volume dose

A

V15 < 120cc
<10%
grade 3+ toxicity

48
Q

small bowel peritoneal cavity volume dose

A

V45 < 195cc
<10%
grade 3+ toxicity

49
Q

rectum 1st volume dose

A

V50 < 50%
<10%
grade 3+ toxicity

50
Q

rectum 2nd volume dose

A

V60 < 35%
<10%
grade 3+ toxicity

51
Q

rectum 3rd volume dose

A

V65 < 25%
<10%
grade 3+ toxicity

52
Q

rectum 4th volume dose

A

V70 < 20%
<10%
grade 3+ toxicity

53
Q

rectum 5th volume dose

A

V75 < 15%
<10%
grade 3+ toxicity

54
Q

bladder (bladder CA) max dose

A

65Gy
tox<6%
grade 3+ toxicity

55
Q

bladder (prost CA) 1st volume dose

A

V65 < 50%

grade 3+ toxicity

56
Q

bladder (prost CA) 2nd volume dose

A

V70 < 35%

grade 3+ toxicity

57
Q

bladder (prost CA) 3rd volume dose

A

V75 < 25%

grade 3+ toxicity

58
Q

bladder (prost CA) 4th volume dose

A

V80 < 15%

grade 3+ toxicity

59
Q

brachial plexus mobius max dose

60
Q

brachial plexus mobius volume dose

61
Q

fem heads mobius max dose

62
Q

fem head mobius lower volume dose

A

25% < 45Gy

63
Q

fem head mobius upper volume dose

A

40% < 40Gy

64
Q

eyes mobius max dose

65
Q

eyes mobius mean dose

66
Q

lens mobius max dose

67
Q

SRS brain volume dose

A

V12Gy < 5-10cc
<20%
symptomatic necrosis

68
Q

SRS brain stem (acoustic tumors) max dose

A

< 12.5Gy
<5%
neuropathy or necrosis

69
Q

SRS optic nerve/chiasm max dose

A

< 12Gy
<10%
optic neuropathy

70
Q

SRS spinal cord max dose

A

13Gy
1%
myelopathy

71
Q

SRS 3 fx spinal cord max dose

A

20Gy
1%
myelopathy

72
Q

SRS cochlea volume dose

A

Rx dose </= 14Gy

sensory neural hearing loss

73
Q

SRS 3 fx liver/HCC lower mean dose

A

13Gy
tox<5%
RILD

74
Q

SRS 3 fx liver/mets upper mean dose

A

15Gy
tox<5%
RILD

75
Q

SRS 3 fx liver volume dose

A

> 700cc < 15Gy
<5%
RILD

Dosimetry (53 decks)

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