Table 2.
Advocated safety margins
Team | Metastases | Recommendation |
---|---|---|
Schefter et al. 2005 [20] |
SBRT of liver metastases |
Minimum distance between GTV and PTV surfaces: |
|
|
— 0.5 cm, axial planes |
|
|
— 1.0 cm, superior/inferior |
|
|
Cumulative maximum tumourdiameter: < 6 cm |
Katria et al. 2010 [21] |
IGRT of abdomen and pelvis |
Stroom's and Van Herk's margins (cm): |
|
|
— 0.39 and 0.35 mm, anterior-posterior |
|
|
— 0.94 and 0.46 mm, medial-lateral |
|
|
— 0.40 and 1.09 mm, superior-inferior |
Wysocka et al. 2010 [22] |
|
Median 3.8 mm intrafraction craniocaudal displacement for coeliac axis with smaller displacements for other axes |
RTOG consensus guidelines [23] |
Inguinal lymph nodes |
Caudad extent of the inguinal region : 2 cm to the saphenous/femoral junction |
Kim et al. 2011 [24] |
Inguinal and femoral nodes |
2.2 - 2.9 cm around femoral vessels |
Van Weieringen et al. 2011 [25] |
Pelvic lymph nodes |
For offline and online correction protocols, respectively: |
|
|
— 7 and 5 mm, left-right |
|
|
— 6 and 5 mm,craniocaudal |
— 8 and 7 mm,dorsoventral |
RTOG: Radiation Therapy Oncology Group.