• Primary tumor:
35 x 2.0 Gy (median dose!)
• Neck levels:
35 x 1.55 Gy (median dose!)
• Constraints :
For PTVs: V95 > 95%
Spinal cord: max dose < 42 Gy
Spinal cord – PRV 3mm: < 47 Gy
Parotid glands : both glands < 25 Gy (NTCP 20%)
: single gland < 39 Gy (NTCP 50 %)
SMG not in PTV - as parotids
Cochlea: mean dose < 45 Gy
Brainstem: D1cc < 55Gy
H&N case




