Contour

Ideal constraints

Acceptable constraints

Breast PTV eval (whole breast volume)

V38 ≥ 95%

V43.2 ≤ 50%

Dmax < 46 Gy

0.95 ≤ CI ≤ 2.0 (optional)

V36 ≥ 90%

V44.8 ≤ 50%

Dmax < 48 Gy

0.85 ≤ CI ≤ 3.0 (optional)

Contralateral breast

V1.44 ≤ 5%

Dmax < 2.4 Gy

V2.4 ≤ 5%

Dmax < 3.84 Gy

Ipsilateral lung

V16 ≤ 15%

V8 ≤ 35%

V4 ≤ 50%

V16 ≤ 20%

V8 ≤ 40%

V4 ≤ 55%

Contralateral lung

V4 ≤ 10%

V4 ≤ 15%

Heart

(for right sided tumors)

V16 = 0%

V8 ≤ 10%

Dmean ≤ 3.2 Gy

V20 = 0%

V8 ≤ 15%

Dmean ≤ 4.0 Gy

Heart

(for left sided tumors)

V16 ≤ 5%

V8 ≤ 30%

Dmean ≤ 3.2 Gy

V20 ≤ 5%

V8 ≤ 35%

Dmean ≤ 4.0 Gy

Thyroid

Dmax ≤ 0.96 Gy

Dmax ≤ 1.44 Gy