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1. At (upper) node level II:

VII b (retrostyloid).

2. At node level IV-V:

IVb & Vc (supraclavicular fossa).

3. At the boundary with another level

:

Both node levels.

4. Abutting a muscle :

A 1-2 cm 3D-expansion into the

muscle.

Gregoire et al.

Radiother Oncol

2006; 79:15-20.

Gregoire et al.

Radiother Oncol

2014;110:172-81.

Selecting node level to include in the CTV, if N+

GTV-N

CTV-N

CTV-neck