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What GTV to CTV expansion do you use for limited stage small cell lung cancer with IMRT?

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In which order do you contour your CTV and ITV?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Radiation Oncology Associates
Answered on

It seems to me that in stage III NSCLC cases, the CTV of the primary tumor in the lung and the CTV of the nodal volumes would be drawn differently for maximum efficiency:

  1. Primary: GTVp --> iGTVp --> + 5-7 mm = CTVp --> + 5 mm = PTVp
  2. Nodal: GTVn --> + 5-7 mm + entire nodal station (if desired) + el...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Cleveland Clinic
Answered on

If giving a formal answer, I would expand by 5mm from GTV to CTV. Step-by-step would start with drawing GTV, add a 5 mm CTV expansion, then correct for motion to an ITV, and expand that by a further 5 mm to PTV. I do edit my CTV by expanding to include the entire nodal station of any levels that are...

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