2.0 efb57aa3-63be-4185-850d-88afd95b3406 *AOS_Lung_L hypofx 60/45Gy 15fx v1 Thorax Lung Left *AOS_Lung_L hypofx 60/45Gy 15fx AOS sample template - to be copied, reviewed, modified as deemed appropriate, and approved by site physicist Summary: 15 fx left lung hypofx to 60/45 Gy References: SWOG S1933, "A Pilot Study of Hypofractionated Radiotherapy Followed by Atezolizumab Consolodation in Stage II or III NSCLC Patients with Borderline Performance Status "; Westover-Timmerman IJROBP 2015, "Precision Hypofractionated Radiation Therapy in Poor Performing Patients with Non-Small Cell Lung Cancer: Phase 1 Dose Escalation Trial" Version 1.4 Created: 2/11/2025 (PHH) - copied from right lung Last updated: 4/18/2025 (PHH) - adjusted influencer P levels sub-P ordering, corrected OAR label (Bronchus_Main) ********************************************************************* *Liver and Stomach objectives are not listed in either reference; added D0.03cc objectives for each based on clinical judgment. Structures have been named according to TG 263. 5018 FMA 3.2 Bones 4289396157 Bones 7088 FMA 3.2 Heart 4294957055 Heart 7131 FMA 3.2 Esophagus 4289068874 Esophagus 7309 FMA 3.2 Lung right 4278190284 Lung_R 7310 FMA 3.2 Lung left 4294967040 Lung_L 45245 FMA 3.2 Brachial plexus left 4294934720 BrachialPlex_L 45244 FMA 3.2 Brachial plexus right 4286578943 BrachialPlex_R T-D3219 SRT Great vessels of the heart 4291454208 GreatVes 7394 FMA 3.2 Trachea 4278190335 Trachea 264793 FMA 3.2 Set of left ribs 4278223103 Ribs_L 264792 FMA 3.2 Set of right ribs 4291624908 Ribs_R 7163 FMA 3.2 Skin 4286644096 Skin Body BODY 99VMS_STRUCTCODE 1.0 Body plus other external items 5 0 ]]> 7148 FMA 3.2 Stomach 4294934720 Stomach 9869 FMA 3.2 Pericardium 4294901888 Pericardium 7197 FMA 3.2 Liver 4278206464 Liver 7405 FMA 3.2 Main bronchus 4289986559 Bronchus_Main 68877 FMA 3.2 Both lungs 4294934528 Lungs 7647 FMA 3.2 Spinal cord 4278255615 SpinalCord GTVp 99VMS_STRUCTCODE 1.0 Primary gross tumor volume 4285868492 GTV ITV 99VMS_STRUCTCODE 1.0 Internal target volume 4294934528 ITV R-429EC SRT Planning target volume 4290257415 PTV_60 Target2 ITV 99VMS_STRUCTCODE 1.0 Internal target volume 5 OAR6 45245 FMA 3.2 Brachial plexus left 5 OAR7 45244 FMA 3.2 Brachial plexus right 5 OAR3 7131 FMA 3.2 Esophagus 5 OAR8 T-D3219 SRT Great vessels of the heart 3 OAR2 7088 FMA 3.2 Heart 3 OAR10 264793 FMA 3.2 Set of left ribs 3 OAR11 264792 FMA 3.2 Set of right ribs 3 OAR12 7163 FMA 3.2 Skin 3 OAR18 7647 FMA 3.2 Spinal cord 10 OAR9 7394 FMA 3.2 Trachea 3 Body BODY 99VMS_STRUCTCODE 1.0 Body plus other external items -2 ]]> R-429EC SRT Planning target volume 4294901760 PTV_45 Target2 ITV 99VMS_STRUCTCODE 1.0 Internal target volume 5 Body BODY 99VMS_STRUCTCODE 1.0 Body plus other external items -2 ]]> HealthyTissue 99VMS_STRUCTCODE 1.0 Generic healthy tissue 4278190208 Lungs - GTV_ITV OAR5 7310 FMA 3.2 Lung left OAR4 7309 FMA 3.2 Lung right Target1 GTVp 99VMS_STRUCTCODE 1.0 Primary gross tumor volume Target2 ITV 99VMS_STRUCTCODE 1.0 Internal target volume ]]> Target3 4 DoseVolume ShouldBeMoreOrEqual 95 Relative 60 Absolute DoseVolume ShouldBeMoreOrEqual 95 Relative 58.2 Absolute 1 1 DoseVolume ShouldBeMoreOrEqual 99 Relative 54 Absolute DoseVolume ShouldBeMoreOrEqual 99 Relative 52.2 Absolute 2 1 DoseVolume ShouldBeLessOrEqual 2 Absolute 110.00000000000001 Relative DoseVolume ShouldBeLessOrEqual 2 Absolute 115.00000000000001 Relative 3 12 Target4 3 DoseVolume ShouldBeMoreOrEqual 95 Relative 45 Absolute DoseVolume ShouldBeMoreOrEqual 95 Relative 43.6 Absolute 1 2 DoseVolume ShouldBeMoreOrEqual 99 Relative 40.5 Absolute DoseVolume ShouldBeMoreOrEqual 99 Relative 39.2 Absolute 2 2 OAR2 DoseVolume ShouldBeLess 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 1 OAR2 DoseVolume ShouldBeLess 15 Absolute 39.5 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 43.5 Absolute 2 3 OAR2 MeanDose OAR3 DoseVolume ShouldBeLess 0.03 Absolute 55 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 60.5 Absolute 3 2 OAR3 DoseVolume ShouldBeLess 15 Absolute 51 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 56.4 Absolute 2 7 OAR3 MeanDose OAR6 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 50.5 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 55.5 Absolute 2 8 OAR7 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 50.5 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 55.5 Absolute 3 14 OAR8 DoseVolume ShouldBeLess 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 10 OAR8 DoseVolume ShouldBeLess 15 Absolute 48.9 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 53.8 Absolute 3 3 OAR9 DoseVolume ShouldBeLess 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 15 OAR9 DoseVolume ShouldBeLess 15 Absolute 39.5 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 43.5 Absolute 3 6 OAR10 DoseVolume ShouldBeLess 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 13 OAR10 DoseVolume ShouldBeLess 15 Absolute 48.9 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 53.8 Absolute 3 7 OAR11 DoseVolume ShouldBeLess 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 4 1 OAR11 DoseVolume ShouldBeLess 15 Absolute 48.9 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 53.8 Absolute 4 2 OAR12 DoseVolume ShouldBeLess 0.03 Absolute 55 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 60 Absolute 4 3 OAR12 DoseVolume ShouldBeLess 15 Absolute 49 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 53.9 Absolute 4 4 OAR13 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 30 Absolute 4 5 OAR13 MeanDose OAR14 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 8 OAR14 DoseVolume ShouldBeLessOrEqual 15 Absolute 39.5 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 43.5 Absolute 2 4 OAR14 MeanDose OAR15 DoseVolume ShouldBeLessOrEqual 700 Absolute 20 Absolute 3 11 OAR15 MeanDose OAR16 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 60 Absolute DoseVolume ShouldBeLessOrEqual 0.03 Absolute 66 Absolute 3 9 OAR16 DoseVolume ShouldBeLessOrEqual 15 Absolute 39.5 Absolute DoseVolume ShouldBeLessOrEqual 15 Absolute 43.5 Absolute 3 4 ControlRegion1 DoseVolume ShouldBeLess 1500 Absolute 15.5 Absolute DoseVolume ShouldBeLessOrEqual 1500 Absolute 17 Absolute 2 5 ControlRegion1 DoseVolume ShouldBeLess 1000 Absolute 16.3 Absolute DoseVolume ShouldBeLessOrEqual 1000 Absolute 17.9 Absolute 2 6 ControlRegion1 MeanDose ShouldBeLess 18 Absolute MeanDose ShouldBeLessOrEqual 19.8 Absolute 3 5 ControlRegion1 VolumeDose ShouldBeLess 37 Relative 18 Absolute VolumeDose ShouldBeLessOrEqual 40.7 Relative 18 Absolute 3 16 OAR18 DoseVolume ShouldBeLessOrEqual 0.03 Absolute 42.3 Absolute 1 3 OAR18 DoseVolume ShouldBeLessOrEqual 5 Absolute 39 Absolute 2 9 OAR4 MeanDose OAR5 MeanDose NoNormalization 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None 1 None