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. 2018 Sep 1;91(1092):20180270. doi: 10.1259/bjr.20180270

Table 1.

An example wish-list for automated plan generation with Erasmus-iCycle for localised prostate cancer patients

Constraints
Volume Type Limit
PTV Max dose 105% of DPx
PTV Mean dose 101% of DPx
Rectum & anus Max dose 102% of DPx
PTV shell 50mm Max dose 50% of DPx
Unspecified tissues Max dose 105% of DPx
Objectives
Priority Volume Type Goal Parameters
1 PTV ↓LTCP 0.8 DPx = 78Gy, α = 0.8
2 Rectum ↓EUD 20Gy k = 12
3 OAR 2 ↓EUD 10Gy k = 8
4 PTV shell 5mm
Skin ring 20mm
↓Max dose
↓Max dose
80% of DPx
20% of DPx
5 Rectum ↓Mean dose 5Gy
6 Anus ↓Mean dose 5Gy
7 Bladder ↓Max dose 5Gy
8 PTV shell 15mm
PTV shell 25mm
↓Max dose 50% of DPx
30% of DPx
9 Left & right femoral heads ↓Max dose 50% of DPx

α, cell sensitivity;EUD, equivalent uniform dose;k, volume effect; LTCP, logarithmic tumour control probability; PTV, planning target volume;DPx, prescribed dose.

The priorities assigned to the objectives are used in the a priori MCO, guaranteeing for each patient generation of a pareto-optimal plan with clinically favorable balances between all treatment objectives. (Courtesy: A.W. Sharfo).