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High grade glioma - PTV

Use the

Margin Recipe

- PTV = 2.5

Σ

+ 0.7

σ

Measure the standard deviations in

each department

Our dept – PTV margin = 0.3 cm with

IGRT

Systematic errors (mm)

Gaussian

Σ

doctor

0.0

0.0

0.0

Σ

motion

0.0

0.0

0.0

Σ

transfer

0.1

0.1

0.1

Σ

set-up

0.25

0.25

0.25

Σ

(combined)

0.3

0.3

0.3

Linear

b

0.0

0.0

0.0

a

0.0

0.0

0.0

Treatment Execution errors

Gaussian

σ

set-up

0.3

0.3

0.3

σ

motion(target shape)

0.0

0.0

0.0

σ

p

5.5

5.5

5.5

σ

(combined)

5.5

5.5

5.5

Planning parameter (

β)

1.64

1.64

1.64

Semi-sides

systematic

0.7

0.7

0.7

execution

9.0

9.0

9.0

breathing

0.0

0.0

0.0

scalar (a-

βσ

p)

-9.0

-9.0

-9.0

Total CTV-PTV margin

0.7

0.7

0.7