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Low dose spillage:

Ø

Maximal dose at 2cm from PTV must be between 50-77% of

ID

Volume low dose spillage:

Ø

Ratio of volume receiving 50% of

PD

over PTV volume must between

5.9 and 2.9

SBRT 2017 - D. Verellen

D

max

donut PTV

+

2.2

cm

[

]

PTV

+

2

cm

[

]

(

)

=

32.6

Gy

=

52%(

ID

)

(

50-77%

)

Volume sphere

, 50%

PD

(

)

VolumePTV

=

Volume

24

Gy

(

)

Volume PTV

(

)

=

191.7

cm

3

39.8

cm

3

=

4.8

(

2.9-5.9

)

PTV &

tissue heterogeneity &

dose prescription