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Table 3 Summary of major deviations that occurred in the 26 first submitted plans

From: Quality assurance in a phase III, multicenter, randomized trial of POstmastectomy radioThErapy in Node posiTive breast cancer with or without Internal mAmmary nodaL irradiation (POTENTIAL): a planning benchmark case

Major deviations

No. (%)

Inappropriate beam arrangement

4 (15.4)

No application of chest wall skin flash

5 (19.2)

Insufficient dose coverage of PTV

12 (46.2)

Hot spot dose inside PTV or large volume of V110%

5 (19.2)

High-dose region occurred outside PTV

3 (11.5)

Insufficient constraint on V5Gy of OARs

12 (46.2)

No constraint on ipsilateral shoulder joint V30Gy

2 (7.7)

High spinal cord PRV Dmax

1 (3.8)

Insufficient dose constraint on ipsilateral lung

1 (3.8)