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• 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