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Table 5 Dose Constraints for Parallel Structures. Parallel structures require the use of a ‘critical volume’ (CV), also termed a ‘complementary volume’. For example, for lung, the CV1500cc is listed as 7 Gy for 1-fraction treatments, meaning that there must be 1500 cc of lung receiving 7 Gy or less. This is read from the left-hand side of a dose-volume histogram (DVH). For further information on calculating the CV, with DVH examples, see Application of Critical Volume-Dose Constraints for Stereotactic Body Radiation Therapy in NRG Radiation Therapy Trials at https://www.redjournal.org/article/S0360-3016(17)30241-9/abstract. The VX refers to the percent of lung (minus GTVs) receiving X Gy or more

From: A randomized phase III trial of stereotactic ablative radiotherapy for patients with up to 10 oligometastases and a synchronous primary tumor (SABR-SYNC): study protocol

Structure

Volume

1 Fraction

3 Fraction

5 Fraction

Lung (combined right and left, subtract GTVs)

CV1500cc

7

10.5

12.5

V8Gy(%)

37

  

V11Gy(%)

 

37

 

V13.5 Gy(%)

  

37

Liver

CV700cc

9.1

15

21

Kidney cortex (combined left and right)

CV200cc

8.4

16

17.5