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What PTV margins do you use for definitive prostate radiation?

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Mednet Member
Mednet Member
Radiation Oncology · Emory University School of Medicine

I tend to follow the RTOG/NRG trials' guidelines for each clinical situation when deciding on margins from CTV to PTV (which use progressively tighter margins based on whether one is doing standard, moderate hypo-, or extreme hypo-fractionation):

For conventional fractionation, RTOG 0924 states 0.5-...

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Mednet Member
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Radiation Oncology · Hunter Holmes McGuire Veterans Affairs Medical Center

In my opinion, the PTV should always be tailored to the situation and the steps that have been taken to minimize intra-fractional motion assuming daily imaging

In our department for modest hypofractionation and standard fractionation for an intact prostate, we sim with a 3 mm slice CT , intra-prosta...

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