Emami TD 5/5

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LUNG 1/3: 2/3: 3/3: Result:

4500cGy (45Gy) 3000cGy (30Gy) 1750cGy (17.5Gy) Pneumonitis, Firbrosis

The most widely used tolerance dose tables are based on the dose that will result in a ___% complication rate in ___ years (_____ __/__)if the whole organ (__/__) is irradiated

5%, 5, (TD 5/5), (3/3)

KIDNEY 1/3: 2/3: 3/3: Result:

5000cGy (50Gy) 3000cGy (30Gy) 2300cGy (23Gy) Nephritis, Nephrosclerosis

LIVER 1/3: 2/3: 3/3: Result:

5000cGy (50Gy) 3500cGy (35Gy) 3000cGy (30Gy) Liver failure, ascites

SMALL INTESTINE 1/3: 2/3: 3/3: Result:

5000cGy (50Gy) N/A 4000cGy (40Gy) Ulceration, obstruction, perforation, fistula

RIB CAGE 1/3: 2/3: 3/3: Result:

5000cGy (50Gy) N/A N/A Pathologic fracture

EAR MID/EXTERNAL 1/3: 2/3: 3/3: Result:

5500cGy (55Gy) 5500cGy (55Gy) 5500cGy (55Gy) Chronic serous otitis, Deafness

COLON 1/3: 2/3: 3/3: Result:

5500cGy (55Gy) N/A 4500cGy (45Gy) Ulceration, obstruction, perforation/ulceration/fistula

SPINAL CORD 1/3: 2/3: 3/3: Result:

5cm^2 5000cGy (50Gy) 10cm^2 5000cGy (50Gy) 20cm^2 4700cGy (47Gy) Myelitis, Necrosis, Transection

HEART 1/3: 2/3: 3/3: Result:

6000cGy (60Gy) 4500cGy (45Gy) 4000cGy (40Gy) Pericarditis, Pancarditis

BRAIN 1/3: 2/3: 3/3: Result:

6000cGy (60Gy) 5000cGy (50Gy) 4500cGy (45Gy) Necrosis, Infarction

BRAIN STEM 1/3: 2/3: 3/3: Result:

6000cGy (60Gy) 5300cGy (53Gy) 5000cGy (50Gy) Necrosis, Infarction

STOMACH 1/3: 2/3: 3/3: Result:

6000cGy (60Gy) 5500cGy (55Gy) 5000cGy (50Gy) Ulceration, perforation

ESOPHAGUS 1/3: 2/3: 3/3: Result:

6000cGy (60Gy) 5800cGy (58Gy) 5500cGy (55Gy) Stricture, perforation, ulceration

BRACHIAL PLEXUS 1/3: 2/3: 3/3: Result:

6200cGy (62Gy) 6100cGy (61Gy) 6000cGy (60) Clinically apparent nerve damage

T-M JOINT MANDIBLE 1/3: 2/3: 3/3: Result:

6500cGy (65Gy) 6000cGy (60Gy) 6000cGy(60Gy) Marked limitation of joint function

LARYNX 1/3: 2/3: 3/3: Result:

7900cGy (79Gy) 7000cGy (70Gy) 7000cGy (70Gy) Cartilage necrosis

PAROTID 1/3: 2/3: 3/3: Result:

N/A 3200cGy (32Gy) 3200cGy (32Gy) Xerostomia

LARYNX 1/3: 2/3: 3/3: Result:

N/A 4500cGy (45Gy) 4500cGy (45Gy) Laryngeal edema

BLADDER 1/3: 2/3: 3/3: Result:

N/A 8000cGy (80Gy) 6500cGy (65Gy) Ulceration, contracture

CARTILAGE (CHILD) 1/3: 2/3: 3/3: Result:

N/A N/A 1000cGy (10Gy) Arrested growth

BONE (CHILD) 1/3: 2/3: 3/3: Result:

N/A N/A 10cm^2 2000cGy (20Gy) Arrested growth

BONE (ADULT) 1/3: 2/3: 3/3: Result:

N/A N/A 10cm^2 6000cGy (60Gy) Fracture, necrosis

OVARIES 1/3: 2/3: 3/3: Result:

N/A N/A 200-300cGy (2-3Gy) Permanent sterilization

MUSCLE (CHILD) 1/3: 2/3: 3/3: Result:

N/A N/A 2000-3000cGy (20-30Gy) No development

FETUS 1/3: 2/3: 3/3: Result:

N/A N/A 200cGy (2Gy) Death

LYMPH NODES 1/3: 2/3: 3/3: Result:

N/A N/A 4500cGy (45Gy) Atrophy

PITUITARY GLAND 1/3: 2/3: 3/3: Result:

N/A N/A 4500cGy (45Gy) Hypopituitarism

THYROID GLAND 1/3: 2/3: 3/3: Result:

N/A N/A 4500cGy (45Gy) Hypothyroidism

TESTES 1/3: 2/3: 3/3: Result:

N/A N/A 500-1500cGy (5-15Gy) Permanent sterilization

SALIVARY GLAND 1/3: 2/3: 3/3: Result:

N/A N/A 5000cGy (50Gy) Xerostomia

FEMORAL HEAD 1/3: 2/3: 3/3: Result:

N/A N/A 5200cGy (52Gy) Necrosis

CARTILAGE (ADULT) 1/3: 2/3: 3/3: Result:

N/A N/A 6000cGy (60Gy) Necrosis

ORAL MUCOSA 1/3: 2/3: 3/3: Result:

N/A N/A 6000cGy (60Gy) Ulceration, Fibrosis

VAGINA 1/3: 2/3: 3/3: Result:

N/A N/A 9000cGy (90Gy) Ulceration, fistula

BREAST 1/3: 2/3: 3/3: Result:

N/A N/A >5000cGy (50Gy) Atrophy, fibrosis, necrosis

ADRENAL GLAND 1/3: 2/3: 3/3: Result:

N/A N/A >6000cGy (60Gy) Hypoadrenalism

EYE LENS 1/3 & 2/3: 3/3: Result:

No partial volume 250-500cGy (2.5-5Gy) Cataracts

EYE RETINA 1/3 & 2/3: 3/3: Result:

No partial volume 4500cGy (45Gy) Blindness

OPTIC CHIASMA 1/3 & 2/3: 3/3: Result:

No partial volume 5000cGy (50Gy) Blindess

OPTIC NERVE 1/3 & 2/3: 3/3: Result:

No partial volume 5000cGy (50Gy) Blindess

CAUDA EQUINA 1/3 & 2/3: 3/3: Result:

No volume effect 6000cGy (60Gy) Clinically apparent nerve damage

RECTUM 1/3 & 2/3: 3/3: Result: P______, N_____, F____, S_____, U______, S______

No volume effect 6000cGy (60Gy) Proctitis, necrosis, fistula, stenosis, ulceration, stricture

TD5/5 ______ as the volume _____ TD5/5 ______ as the volume _____

increases, decreases decreases, increases

Doses higher than those listed in the "3/3" column are likely to cause ______ ______ or even _____

severe damage, death

SKIN 1/3: 2/3: 3/3: Result:

10cm^2 7000cGy (70Gy) 10cm^2 6000cGy (60Gy) 10cm^2 5500cGy (55Gy) Necrosis, Ulceration, Fibrosis

BONE MARROW 1/3: 2/3: 3/3: Result:

2000cGy (20Gy) N/A 200cGy (2Gy) Hypoplasia

EAR MID/EXTERNAL 1/3: 2/3: 3/3: Result:

3000cGy (30Gy) 3000cGy (30Gy) 3000cGy (30Gy) Acute serous otitis


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