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The clinical relevance of the

lowest PTV dose points

may

depend on their

position within the PTV

.

The

location

of low-dose regions within the GTV, CTV, and

PTV boundaries may be of concern but

the DVH will not

provide that information

. Such regions might, however, be

identifiable using isodose contours.

Hence,

it is important that the radiation oncologist not rely

solely on the DVH for treatment evaluation but also

carefully inspect the dose distributions slice-by-slice

(or in

three dimensions) to make sure that the PTV is being

adequately irradiated and that any regions of low dose are

those required to avoid complications.

Recommendation for reporting

SBRT 2017 - D. Verellen