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Table 2 Dose constraints for the OARs for IMPT planning

From: Cone beam CT-based adaptive intensity modulated proton therapy assessment using automated planning for head-and-neck cancer

Structures

Dose-volume constraints

Body

Dmax < 115%

Brainstem

Dmax < 54 Gy

Cochlea

Dmean < 40 Gy

Pharynx constrictor

Dmean < 50 Gy

Larynx

Dmean < 50 Gy

Mandible

Dmax < 75 Gy

Oral cavity

Dmean < 50 Gy

Spinal cord

Dmax < 48 Gy

Parotid

Dmean < 26 Gy

Parotid

V20Gy < 50%

Esophagus

Dmean < 40 Gy

Eye

Dmax < 45 Gy

Optic nerve

Dmax < 50 Gy

Optic chiasm

Dmax < 50 Gy

Submandibular

Dmean < 39 Gy