Definitions of Constraints

Site/OAR

Ideal dose-volume constraints

Acceptable dose-volume constraints

Targets

Chestwall/whole breast

D95% ≥ 47.5 Gy

D90% ≥ 45.0 Gy

Axillary Lymph Node

D95% ≥ 45.6 Gy

D90% ≥ 43.0 Gy

Supraclavicular Lymph Node

D95% ≥ 45.6 Gy

D90% ≥ 43.0 Gy

Internal Mammary Lymph Nodes

D90% ≥ 42.0 Gy

D90% ≥ 38.0 Gy

Organs at Risk (OAR)

Ipsilateral Lung

V20 ≤ 25%

V20 ≤ 30%

Heart

V25 ≤ 5%

V25 ≤ 9%