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. 2021 Jun 28;48(8):4139–4147. doi: 10.1002/mp.14993

Table A1.

The wish‐list used to automatically generate the FMO plans using Erasmus‐iCycle, containing a list of constraints and a list of prioritized planning objectives.

Constraints
Priority Volume Dose metric Limit (Gy)
PTV Dmax 61.5
UrethraPlan D5% 45
D10% 42
Dmean 40
Rectum Dmax 38
D1cc 32.3
Rectum mucosa Dmax 27
Bladder Dmax 41.8
D1cc 38
Penile bulb Dmax 1.5
Ring PTV 2–3cm Dmax 25
Skin dose Dmax 20
Shell 3 mm Dmax 38
Shell 3 cm Dmax 20
Shell 5 cm Dmax 20
Objectives
Priority Volume Dose metric Goal Sufficient Parameters
1 PTV ‐ OARs LTCP 0.01 0.01 Dp = 37 Gy, α = 0.90
2 PTV LTCP 0.25 0.25 Dp = 37 Gy, α = 0.60
3 UrethraPlan Dmean 39 Gy 38 Gy
4 LTCP 0.50 Dp = 40 Gy, α = −0.50
5 Rectum LTCP 0.00 Dp = 27 Gy, α = −0.20
6 Bladder LTCP 0.00 Dp = 31 Gy, α = −0.20
7 Dose bath Dmax 15 Gy
8 Femoral heads Dmax 24 Gy

The optimization starts with optimizing on the PTV to attain sufficient PTV coverage, while respecting all constraints from the constraints list. Once an objective is optimized, it is added as an additional constraint to the constraint list and then the next objective will be optimized. The relative ranking of the objectives is based on clinical importance of the structures. A detailed description of the Erasmus‐iCycle workflow is provided in Breedveld et al., 2012.18 UrethraPlan is defined as the volume of the urethra within the PTV.