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Table 2 GTV and CTV definition for SRT

From: Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline

 

Included structures

RAND/UCLA method

ANOCEF consensus guideline

1st round

2nd round*

3rd round

GTV

Nodular enhancement

Appropriate

Appropriate

-

Appropriate

Thickened meninges

Appropriate

Appropriate

-

Appropriate

Directly invaded bone

Appropriate

Appropriate

-

Appropriate

CTV

Margin around nodular enhancement

Inappropriate

Inappropriate

-

Inappropriate

Margin along normal meninges

Inappropriate

Inappropriate

-

Inappropriate

Tumor bed

Uncertain

Uncertain

Inappropriate

Inappropriate

Margin around tumor bed

Inappropriate

Inappropriate

-

Inappropriate

Margin in healthy bone

Inappropriate

Inappropriate

-

Inappropriate

Hyperostosis

Inappropriate

Inappropriate

-

Inappropriate

Peritumoral edema

Inappropriate

Inappropriate

-

Inappropriate

Cranial flap

Inappropriate

Inappropriate

-

Inappropriate

Venous sinus

Inappropriate

Inappropriate

-

Inappropriate

Other vascular structures (arteries)

Inappropriate

Inappropriate

-

Inappropriate

Optic nerve

Inappropriate

Inappropriate

-

Inappropriate

Cranial nerves

Inappropriate

Inappropriate

-

Inappropriate

  1. ANOCEF, Association of French-speaking Neuro-oncologists; CTV, clinical target volume; GTV, gross tumor volume; SRT, stereotactic radiation therapy; * all SRT questions have been clarified and resubmitted for the 2nd round