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Table 1 HA-WBRT Planning acceptability defined by RTOG 0933

From: Quality assurance analysis of hippocampal avoidance in a melanoma whole brain radiotherapy randomized trial shows good compliance

 

Parameter

Per Protocol

Acceptable Variation

Unacceptable Deviation

HA-WBRT IMRT Planning

PTV

D2% ≤ 37.5 Gy

D98% ≥ 25 Gy

37.5Gy < D2% ≤ 40Gy

D98% < 25 Gy

V30 < 90%

D2% > 40 Gy

Hippocampus

D100% ≤ 9 Gy

Dmax ≤16Gy

D100% ≤ 10 Gy

Dmax ≤17 Gy

D100% >  10 Gy

Dmax > 17 Gy

Optic nerves and chiasm

Dmax ≤37.5Gy

Dmax ≤37.5Gy

Dmax > 37.5Gy

Unscheduled Break Days

 

0 break days

1–3 break days

>  3 break days

  1. Dmax Maximum dose, HA-WBRT Hippocampal avoidance during whole brain radiotherapy, IMRT Intensity-modulated radiotherapy, PTV Planning target volume [13, 22]. Dx% and Vy represent respectively the dose received by x % and the volume received by y Gy of specified structure