ATP 2016

H&N case

• Primary tumor: • Neck levels:

35 x 2.0 Gy (median dose!) 35 x 1.55 Gy (median dose!)

• Constraints : 

For PTVs: V95 > 95%

Spinal cord: max dose < 42 Gy Spinal cord – PRV 3mm: < 47 Gy

     

Parotid glands : both glands < 25 Gy (NTCP 20%) : single gland < 39 Gy (NTCP 50 %)

SMG not in PTV - as parotids Cochlea: mean dose < 45 Gy Brainstem: D1cc < 55Gy