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Target volumes – PRV

Spinal cord & optic nerves/chiasm perfect examples where a PRV 

may be helpful

serial tissue organisation

damage is clinically catastrophic

Add PRV i ll if hi h d

l

d

 a 

, espec a y  g oses are p anne

Almost no other OARs where a PRV is needed

PRV may be misleading for parallel organs

(This advice is more definitive than ICRU 83)