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An example

Target volume and OAR selection and delineation

Ø

The planning CT was transferred to the treatment planning system

(Accuray, Sunnyvale, CA). The tumor and organs at risk (OAR) were

then contoured. The gross tumor volume (GTV, 1.5 cm3) was

contoured using the lung window. The planning target volume (PTV,

6.7 cm3) was obtained by adding a 5mm margin to the GTV. The

OARs were the lungs, the heart, the esophagus and the spinal cord.

Planning aims and DVH constraints

Ø

The total dose was prescribed to

the outer border of the PTV,

and 95% of the volume of the PTV

had to receive the prescription dose.

The dose constraints for the organs

at risk for a peripheral lung tumor

are shown in Table A.1

SBRT 2017 - D. Verellen