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Table 1 Targets, organs at risk and objectives used for plan optimization

From: Planning comparison of five automated treatment planning solutions for locally advanced head and neck cancer

Institution A

Institution B

Prescription

 70 Gy, 60 Gy and 54 Gy

70 Gy and 54 Gy

  35 fractions with a simultaneous integrated boost

Beam arrangement

 2 volumetric modulated arcs, 6MV photons

PTVs

 PTV 70Gy Dmean = 70Gy

PTV 70Gy D95% = 98%

 PTV 70Gy V95% > 95%

PTV 70Gy V107% < 5%

 PTV 70Gy D2% > 75Gy

PTV 54Gy D95% > 98%

 PTV 60Gy V95% > 95%

PTV 54Gy V107% < 5%

 PTV 54Gy V95% > 95%

 

Serial organs

 Brainstem Dmax < 54 Gy

Brainstem + 3 mm Dmax < 50 Gy

 Brachial Plexus D0.5cm3 < 60 Gy

 

 Mandible V70 Gy <  1 cm3

Mandible Dmax < 70 Gy

 Spinal cord < 45 Gy

Spinal cord + 3 mm Dmax < 54 Gy

Parallel organs

 

UAT

Cricopharyngeal

 Glottis

 
 

Larynx Lower

 

Larynx Upper

 Pharynx constrictor

 
 

Superior PCM

 

Medial PCM

 

Inferior PCM

 Upper esophagus

Upper esophagus

 

Upper Esophageal Sphincter

 Thyroid

Thyroid

 Trachea

Trachea

 Oral cavity

Oral cavity

 Parotids

Parotids

 Submandibular glands

Submandibular glands

  1. Abbreviation: PCM pharyngeal constrictor muscles, UAT upper aerodigestve tract