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Table 2 Dose-volume constraints for PTVs and organs at risk

From: Fast Helical Tomotherapy in a head and neck cancer planning study: is time priceless?

Target/Organ at risk

Median absorbed dose or D50 %

Mean absorbed dose

ALARA

Dnear-min or D98 %

Dnear-max or D2 %

PTV56Gy

56 Gy

 

V59.9 Gy

≥95 % of planned absorbed dose

 

PTV69Gy

69.12 Gy

  

≥95 % of planned absorbed dose

≤107 % of planned absorbed dose

PRV Spinal cord

  

D2

 

≤50 Gy

PRV Brainstem

≤55 Gy

 

D2

 

≤59 Gy

Parotid gland contralateral

 

≤23 Gy

Mean D, V27

  

Parotid gland ipsilateral

 

≤27 Gy

Mean D, V27

  

Submandibular gland

 

≤39 Gy

Mean D

  

Oral mucosa

 

≤27 Gy

Mean D, V27

  

Mandible

  

V60

  

Soft palate

 

≤27 Gy

Mean D, V27

  

Constrictor muscles

 

≤55 Gy

Mean D, V20

  

Cricopharyngeal muscle

 

≤55 Gy

Mean D, V20

  

Base of tongue

 

≤55 Gy

Mean D, V20

  

Larynx

 

≤40 Gy

Mean D, V40

  

Esophagus superior

 

≤35 Gy

Mean D, V35

  

Top of lung

  

V20

  

Inner ear

  

Mean D, V45

  
  1. Abbreviations: PTV planning target volume, PRV planning risk volume, D dose, V volume, ALARA as low as reasonable achievable