Table 1.

Institutional planning criteria for hemithoracic IMRT for MPM. Quantities in parentheses are the highest permitted without special physician consideration.

Target Criteria				Note
PTV	D95%	$\ge$	94%
	V95%	$\ge$	94%
	D05%	$\le$	115%
	Hot spots are inside the PTV
Normal tissue Criteria
Lung
Total Lungs	Mean dose	$\ge$	21Gy	(10)
	V20 Gy	$\ge$	37%	(11)
	NTCP	$\le$	25%	(12)
Cord	Maximum point dose	$\le$	50Gy	(10)
Bowel (upper abdomen)	Maximum point dose	$\le$	55Gy
	D05%	$\le$	50Gy
Heart	V30 Gy	$\le$	50%	(13)
	Mean Dose	$\le$	30Gy	(13)
Kidney	V18Gy	$\le$	33%
Liver	Mean Dose	$\le$	30Gy	(10)
	V30 Gy	$\le$	50%
Stomach	Mean Dose	$\le$	30Gy	Stomach not PTV
Esophagus	Mean Dose	$\le$	34Gy	(10)
	V60Gy	$\le$	17%	(14)