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ITV Concept in ICRU-62 Report

PTV margin should be derived from

Internal Margin (IM) or Internal Target Volume (ITV)

Setup Margin

IM or ITV should compensate for physiological movements and variations in

size, shape, and position of the CTV in relation to an internal reference point

ITV often applied in lung SBRT where it encloses the full CTV in all respiratory

phases

PTV

ITV

CTV