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Topics:
Head and Neck Cancers • Radiation Oncology • Gynecologic Cancers • Genitourinary Cancers • Thoracic Malignancies • Prostate Cancer • General Radiation Oncology
How do you typically prescribe dose to a PTV for standard IMRT plans?
Answer from: Radiation Oncologist at Community Practice
Each PTV has three constraints:
>/= 95% of PTV receives 100% of RX dose
Max hot spot </=110%
>/=99% of PTV receives >/= 93% of Rx Dose
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Answer from: Radiation Oncologist at Academic Institution
For the top dose level:
95% of the PTV receives 100% of the dose
100% of the PTV receives 95% of the dose
0% of the PTV receives >105% of the dose
For patients with gross disease, additionally ask for 100% of the GTV to receive 100% of the dose.
For newer dose calculation algorithms, e.g., m...
Comments
Radiation Oncologist at Lake Huron Medical Center
@Jimmy Caudell - Is this for a specific anatomic ...
@Jimmy Caudell - Is this for a specific anatomic ...
Radiation Oncologist at Moffitt Cancer Center
Specifically for H&N. For GTVs on a mucosal su...
Specifically for H&N. For GTVs on a mucosal su...
Answer from: Radiation Oncologist at Community Practice
Technically, ICRU 83 is supposed to be of guidance here.In reality, no one I know strictly hews to the ICRU 83. We're all a bit rogue.And remember that the PTV is strictly a geometric, non-clinical construct designed to give adequate doses to GTVs/CTVs.Re: "When you write a prescription dose for an ...