International Journal of Radiation Oncology * Biology * Physics
Volume 76, Issue 3 , Pages 747-754 , 1 March 2010

Dose–Volume Constraints to Reduce Rectal Side Effects From Prostate Radiotherapy: Evidence From MRC RT01 Trial ISRCTN 47772397

  • Sarah L. Gulliford, Ph.D.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
    • Corresponding Author InformationReprint requests to: Sarah L. Gulliford, Ph.D., Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Cotswold Rd., Sutton SM2 5NG United Kingdom. Tel: (+44) 208-661-3675; Fax: (+44) 208-643-3812
  • ,
  • Kerwyn Foo, F.R.A.N.Z.C.R.

      Affiliations

    • Department of Radiation Oncology, Illawarra Cancer Care Centre, Wollongong Hospital, NSW, Australia
  • ,
  • Rachel C. Morgan, M.Sc.

      Affiliations

    • Cancer Group, Medical Research Council Clinical Trials Unit, London, United Kingdom
  • ,
  • Edwin G. Aird, Ph.D.

      Affiliations

    • Department of Medical Physics, Mount Vernon Hospital, Northwood, United Kingdom
  • ,
  • A. Margaret Bidmead, M.Sc.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
  • ,
  • Helen Critchley, Ph.D.

      Affiliations

    • Atomic Weapons Establishment, Aldermaston, United Kingdom
  • ,
  • Philip M. Evans, D.Phil.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
  • ,
  • Stefano Gianolini, Ph.D.

      Affiliations

    • Tomotherapy Inc., Culliganlaan, Diegem, Belgium
  • ,
  • W. Philip Mayles, Ph.D.

      Affiliations

    • Department of Physics, Clatterbridge Centre for Oncology, Wirral, United Kingdom
  • ,
  • A. Rollo Moore, M.Sc.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
  • ,
  • Beatriz Sánchez-Nieto, Ph.D.

      Affiliations

    • Servicio de Radioterapia, Clinica Alemana de Santiago, Santiago, Chile
  • ,
  • Mike Partridge, Ph.D.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
  • ,
  • Matthew R. Sydes, C.Stat

      Affiliations

    • Cancer Group, Medical Research Council Clinical Trials Unit, London, United Kingdom
  • ,
  • Steve Webb, D.Sc.

      Affiliations

    • Joint Department of Physics, Institute of Cancer Research and Royal Marsden National Health Service Foundation Trust, Sutton, United Kingdom
  • ,
  • David P. Dearnaley, F.R.C.R.

      Affiliations

    • Department of Academic Urology, Institute of Cancer Research and Royal Marsden Hospitals, Sutton, United Kingdom

Received 15 October 2008 ,Revised 11 February 2009 ,Accepted 11 February 2009.

  • Image Result

    Proposed dose–volume constraints for late rectal toxicity. Two constraint sets tested connected by lines.

    Proposed dose–volume constraints for late rectal toxicity. Two constraint sets tested connected by lines.

  • Image Result

    Summary of maximal toxicity grade reported (any endpoint) relative to number of constraints failed. Lowest volume constraint taken at each dose level.

    Summary of maximal toxicity grade reported (any endpoint) relative to number of constraints failed. Lowest volume constraint taken at each dose level.

 Note—An online CME test for this article can be taken at http://asro.astro.org under Continuing Education.

 Supported and coordinated by the U.K. Medical Research Council, Institute of Cancer Research, and Cancer Research U.K. Section of Radiotherapy Grant C46/A2131.

 Conflict of interest: M. Sydes and R. Morgan are employed by the trial sponsor (Medical Research Council United Kingdom).

PII: S0360-3016(09)00254-5

doi: 10.1016/j.ijrobp.2009.02.025

International Journal of Radiation Oncology * Biology * Physics
Volume 76, Issue 3 , Pages 747-754 , 1 March 2010