Structure |
Metric |
Volume |
Accepted variation |
PTV |
V40Gy |
≥95% |
≥90% |
minimum dose |
0.03 cm3 |
≥46 Gy (92%) |
≥45 Gy (90%) |
maximum dose |
0.03 cm3 |
≤60 Gy (120%) |
≤62.5 Gy (125%) |
Lung (minus GTV) |
V20Gy |
≤10% |
≤15% |
|
Mean dose |
≤8 Gy |
≤10 Gy |
Spinal cord |
0.03 cm3 |
≤15 Gy |
≤22 Gy |
Heart / Pericardium |
15 cm3 |
≤32 Gy |
≤36 Gy |
Esophagus |
0.03 cm3 |
≤27 Gy |
≤30 Gy |
|
Mean dose |
≤18 Gy |
≤20 Gy |
Brachial plexus nerve |
0.03 cm3 |
≤24 Gy |
≤30 Gy |
|
*Abbreviations: PTV: Planning Tumor Volume; GTV: Gross Tumor Volume |
Table 2: Vero stereotactic body radiation therapy lung treatment planning constraints. |