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Target volumes – overlaps

There are always occasions when the PTV and OARs/PRVs overlap

What is the best strategy?

The planning concept has changed between ICRU 62 and 83

In fact it changed completely in ICRU 83

ICRU 62 – edit PTV (even CTV)

– fine for CRT

ICRU 83 –

do not

edit

– better for IMRT