Variation of Spine

treatments
-All plans created by Courtney
Chaney

Background
Diagnosis: Malignant
neoplasm of the
rectum
Poorly differentiated
carcinoma with some
features suggestive of
glandular tissue
Secondary neoplasm
of the bone (L-spine)
and lung

Treatment
possibilities: single
field, ap/pa, or
multiple fields (3
field)
focusing on the L1L4 spine

6 MV SSD Single PA
Treatment

6MV SAD Single PA

Treatment

Comparison between 6MV SSD &

SAD Single PA

15 MV SSD Single PA
Treatment

15 MV SAD Single PA
Treatment

Comparison of 6MV and 15MV SAD

Treatment

DVH

Field Involvement of Kidney

AP/PA 2 field treatments

.50/.50 weight vs. other .35/.65

Best Choice: AP/PA .35/.65 weighting

(PLUS AND MINUS)

PTV-95% of volume getting 98% of

dose

3FIELD PLUS&MINUS

3-Field DVH

Comparison between 3-field & AP/PA