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. 2018 Jan 18;194(6):560–569. doi: 10.1007/s00066-018-1262-x

Fig. 2.

Fig. 2

Clinical validation of plan quality of the in silico SRS treatment plans with artificially contoured BM compared to clinically delivered SRS treatment plans in BM patients. A comparison of the single-fraction IDP dose level with V12Gy = 10 cm3 for coplanar beam arrangement and GTV-PTV margin of 2 mm between perfectly spherical GTVs (filled dots) and non-spherical GTVs of clinical plans (open dots). Legend: Gy Gray, GTV gross tumor volume, PTV planning target volume, SRS stereotactic radiosurgery, BM brain metastases, IDP isotoxic dose prescription, V12Gy volume of healthy brain tissue which is irradiated to 12 Gray or more. The solid lines represent single-fraction PTV size-based dose prescription protocols. The dashed line represents a logistic regression model fitted to data of perfectly spherical GTVs