Flipping Book - TVD

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OARs constraints and delineation
Dmax < 45 Gy
Dmax < 40Gy
(when conc CT)
2 cm above and
belove the CTV
Both lungs
V10Gy < 40%
V15 Gy < 30%
V20 Gy < 40%
V5 Gy < 2300 cc
V25 Gy< 50%
V40 Gy < 30%
V30 Gy < 30%
Entire heart
Entire liver
organ Toxicity
dosimetric
parameters delineation
Post-op
Pneumonitis
ARDS
Pericardium
Myocardium
Coronary
reduction EF
Myelopathy
Radiation
Induced
Liver
Disease QUANTEC– IJROBP- 2010