Brandon Williamson 04/30/20

DVH and Dose Outcome Reporting

Prescription: 66.6Gy in 37 fractions to the prostate fossa.
PTV Goals:
 At least 95% PTV to receive 100% of the prescription dose
 0.03 cc of PTV to receive less than 115% prescription dose

1. Is the PTV receiving the desired coverage as listed above? How do you know? Be specific (1.5 points).
 Yes because the PTV curve is located at the intersection of the 100% dose along the X axis point and the 95% volume point on the Y
axis.

2. Is the PTV receiving a maximum dose of less than 115%? How do you know? Be specific (1.5 Points).
 Yes (at 106.3%) by looking at the table the max dose for the PTV is below 115%.
 Brandon Williamson 04/30/20

3. Using the DVH below, find the requested OAR values as listed in the table below and report the approximate outcome.

0.5 point each:

Organ at Risk (OAR) Desired Planning Objective Planning Objective Outcome Met or Not Met? (Y/N)
Rectum V40 Gy < 55% V40 Gy = 46% Y
Rectum V65 Gy <35% V65 Gy = 22% Y
Bladder V40 Gy < 70% V40 Gy = 33% Y
 Brandon Williamson 04/30/20
Bladder V65 Gy < 50% V65 Gy = 20% Y
Left Femur V50 Gy <10% V50 Gy = 0% Y
Right Femur V50 Gy < 10% V50 Gy = 0% Y

4. A prescription asks for the 20% of the total lung volume to receive less than 20 Gy. Write this in ‘short’ form (0.5 point).
 Total lung V20 Gy < 20%

5. A prescription asks for the PTV to receiving the following: D99% > 95%. What does this mean? Write this out (0.5 point).
 99% of the PTV volume to receive more than 95% of the prescribed dose
 Brandon Williamson 04/30/20

Using the DVH provided above, report the dose outcomes for the 3 red dots (in order of left to right) on the curve in ‘short form’(1 pt each)
1. V10Gy = 66%
2. V22Gy = 50%
3. V30Gy = 40%