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Table 1 Dose-volume requirements and constraints adopted for planning study

From: Class solutions for SABR-VMAT for high-risk prostate cancer with and without elective nodal irradiation

Targets

Optimal requirements

Mandatory

CTV(P)

Px1 = 40Gy

D98% ≥ 100% Px1

≥100% dose to ≥95 − 97%

PTV(P)

Px2 = 36.25Gy

D99% ≥95% Px2

V42Gy ≤ 2%

≥95% dose to ≥98% volume

V42.8Gy ≤ 2%

PTV(SV/LN)a

Px3 = 25Gy

D99% ≥95% Px3

≥95% dose to ≥98% volume

V107% b ≤ 2%

OARs

Optimal

Mandatory

Bladder

V18.1Gy <40%

 

V37Gy < 5 cc

V37Gy <10 cc

Rectum

V18.1Gy <50%

 

V29Gy <20%

 

V36Gy <1 cc

 

Sigmoid

V18.1Gy <50%

 

V29Gy <20%

 

V36Gy <1 cc

 

Bowel

V15Gy <78 cc

V15Gy <158 cc

V20Gy <17 cc

V20Gy <110 cc

V22.5Gy <14 cc

V22.5Gy <28 cc

V25Gy <0.5 cc

V25Gy <1 cc

Femoral heads

V14.5Gy <5%

 

Penile bulb

V29.5Gy <50%

 

Prostatic urethra

V42Gy < 50%

 

Neurovascular bundle

V38Gy <50%

 

Testes

Avoidance structure

 
  1. aFor prostate and lymph nodes (PPLN) plans only, bEvaluated for a structure [(PTV_Px3) - (PTV_Px2 + 10 mm margin)], Px prescription dose, OARs organs at risk, V XGy volume receiving dose X in Gy, D X% the dose received by X% of the volume