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Table 1 Critical structure contouring guidelines

From: PROstate Multicentre External beam radioTHErapy Using a Stereotactic boost: the PROMETHEUS study protocol

Structure name

Description

Rectal Wall

Contour as a 3 mm thick wall structure from recto-sigmoid junction to lower aspect of ischial tuberosities.

Rectal Mucosa

Solid structure corresponding to the internal cylindrical space central to the inner surface of the rectal wall.

Rectum Posterior Wall

This is the most posterior 15 mm of rectal wall

Bladder

Contour the whole organ as a solid structure.

Penile Bulb

Contour from MRI.

Prostatic urethra Planning Target at Risk Volume (PRV)

Contour urinary IDC within prostate, and add 1 mm radial expansion for the PRV. If no IDC used, estimate urethral position, and add 3 mm radial expansion.

Neck of Femur

Contour the Left and Right NOF as solid structures to the level of the ischial tuberosity.