Radiation dose-volume effects of optic nerves and chiasm.

Mayo, Charles; Martel, Mary K; Marks, Lawrence B; Flickinger, John; Nam, Jiho; Kirkpatrick, John · Int J Radiat Oncol Biol Phys · 2010

meta_analysis · Level I

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Abstract

Publications relating radiation toxicity of the optic nerves and chiasm to quantitative dose and dose-volume measures were reviewed. Few studies have adequate data for dose-volume outcome modeling. The risk of toxicity increased markedly at doses >60 Gy at approximately 1.8 Gy/fraction and at >12 Gy for single-fraction radiosurgery. The evidence is strong that radiation tolerance is increased with a reduction in the dose per fraction. Models of threshold tolerance were examined.

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