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).
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2. Is the PTV receiving a maximum dose of less than 115%? How do you know? Be specific (1.5 Points).
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 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 =
Rectum V65 Gy <35% V65 Gy =
Bladder V40 Gy < 70% V40 Gy =
Bladder V65 Gy < 50% V65 Gy =
Left Femur V50 Gy <10% V50 Gy =
Right Femur V50 Gy < 10% V50 Gy =
4. A prescription asks for the 20% of the total lung volume to receive no more than 20 Gy. Write this in ‘short’ form (0.5 point).
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5. A prescription asks for the PTV to receiving the following: D99% > 95%. What does this mean? Write this out (0.5 point).
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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.
2.
3.