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Table 2 Treatment planning objectives

From: Multi-institutional comparison of volumetric modulated arc therapy vs. intensity-modulated radiation therapy for head-and-neck cancer: a planning study

Structure

Parameter

Objective

Priority

PTVboost

Prescribed dose

69.12 Gy (32 * 2.16 Gy)

 

V99%

> 95% of prescribed dose (= 65.66 Gy)

High

D107%

< 2 cm3

High

PTVelective

Prescribed dose

56 Gy (32 * 1.75 Gy)

 

V99%

> 95% of prescribed dose (= 53.2 Gy)

High

Spinal Cord

Dmax

< 50 Gy

High

Brainstem

Dmax

< 54 Gy

High

Parotid glands

Dmean

Preferably < 25 Gy

High-Medium

 

For at least the contralateral gland

Submandibular glands

Dmean

Preferably < 25 Gy

Medium

Oral cavity

Dmean

Preferably < 25 Gy

Medium

Larynx

Dmean

Preferably < 45 Gy

Medium-Low

Pharyngeal constrictors

Dmean

Preferably < 45 Gy

Medium-Low

Other OARs

  

Low