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. 2019 May 13;92(1099):20180901. doi: 10.1259/bjr.20180901

Table 1.

Dose–volume histogram constraints used for volumetric modulated arc therapy.

Structure Constraint
Conventional plan Dose painting plan
PTV54 V 51.3 Gy ≥98% and V 54 Gy ≤1% V 51.3 Gy ≥98% and V 54 Gy ≤1%
PTV60 V 95% ≥ 98% and D max ≤110% V 95% ≥ 98% and D max ≤110% for PTV60 outside of BTVs
PTV60b V 95% ≥ 98% and D max ≤ 60 Gy V 95% ≥ 98% and D max ≤ 60 Gy
Optics_PRV V 54 Gy ≤1% V 54 Gy ≤1%
Brainstem D max ≤ 60 Gy D max ≤ 60 Gy
Retina D max ≤ 45 Gy D max ≤ 45 Gy
Anterior chamber D max ≤ 10 Gy D max ≤ 10 Gy
BTV62.5 V 59.3 Gy ≥95%
BTV65 V 61.8 Gy ≥95%
BTV67.5 V 64.1 Gy ≥95%
BTV70 V 66.5 Gy ≥95%
BTV72.5 V 68.9 Gy ≥95%
BTV75 V 71.3 Gy ≥95%
BTV77.5 V 73.6 Gy ≥95% and D max ≤ 80 Gy

Vx is the percentage volume of a structure that received a dose of x or greater.BTV, biological target volumes; D max = maximum dose;PTV, planning target volume.