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When treating adenocarinoma of the pancreas to 75 Gy in 25 fractions, what dose constraints do you use for small bowel, large bowel, and stomach?

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Radiation Oncology · Memorial Sloan-Kettering Cancer Center

Planning Volumes

Definition

Doses by Fractionation Scheme

15-Fraction

25-Fraction

Microscopic Extension PTV

CTV + 5mm

(CTV = GTV + 1cm + CA, SMA, +/- porta hepatis, +/- splenic hilum basins)

37.5Gy/15

45Gy/25

High Dose PTV

GTV + 5mm margin excluding GI PRV expan...

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