Table 2.
Organ at risk constraints for prostate IMRT.
Organ at risk | Ideal constraint | Minor violation |
---|---|---|
Rectum, sigmoid | V40Gy < 35% V65Gy < 17% V75Gy < 10% Max Dose 2cc < 102.5% |
V40Gy < 45% V65Gy < 21% V75Gy < 15% |
Small bowel | Single phase max dose 70 Gy 100cc < 45 Gy |
Refer to RO |
Bladder | V40Gy < 60% V50Gy < 50% V60Gy < 40% |
V50 Gy between 50–60% |
Femoral heads | V35Gy < 100% V45Gy < 60% V60Gy < 30% |
|
Penile bulb | V50Gy < 95% |
Minor violations were acceptable when all reasonable efforts to achieve ideal constraints had been made. PD: prescribed dose. Gy: Grey. Vx refers to the percentage volume of a structure receiving XGy.