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. Author manuscript; available in PMC: 2015 Jun 29.
Published in final edited form as: J Appl Clin Med Phys. 2015 Jan 8;16(1):5126. doi: 10.1120/jacmp.v16i1.5126

Table 1.

Initial dose-volume constraints and priorities for IMRT and VMAT optimization.

Structure Dose-volume Constraints Relative Priority
PTV D100 ≥ 95%; Dmax ≤ 105% 80–120
CTV D100 ≥ 98%; Dmax ≤ 102% 120–130
Skin Dmax ≤ 70%; 150
V50% ≤ 2% 80
ILB V100% ≤ 2%–7%; V50% ≤ 10%–15%; V20% ≤ 20%-30%; 50
CB Dmax ≤1%; 30
Heart Dmax ≤ 1%; 30
ILL Dmax ≤ 20%–30%; V10% ≤ 2%–7% 30
Normal tissue Doses between 2 mm and 2 cm from PTV boundary to fall off from 100% to 50% of prescription 80