What PTV margins do you use for definitive prostate radiation?
How does it vary by technique (standard fractionation, hypofractionation, or SBRT)? Does your PTV change if you are treating pelvic lymph nodes?
Answer from: Radiation Oncologist at Academic Institution
I tend to follow the RTOG/NRG trials' guidelines for each clinical situation when deciding on margins from CTV to PTV (which use progressively tighter margins based on whether one is doing standard, moderate hypo-, or extreme hypo-fractionation):
For conventional fractionation, RTOG 0924 states 0.5...
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Radiation Oncologist at Radiant Oncology Do you add a margin to the prostate itself in the ...
Radiation Oncologist at Emory University School of Medicine When I treat whole pelvis, I boolean Prostate+SV+p...
Answer from: Radiation Oncologist at Academic Institution
In my opinion, the PTV should always be tailored to the situation and the steps that have been taken to minimize intra-fractional motion assuming daily imaging
In our department for modest hypofractionation and standard fractionation for an intact prostate, we sim with a 3 mm slice CT , intra...
Do you add a margin to the prostate itself in the ...
When I treat whole pelvis, I boolean Prostate+SV+p...