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Renee Jackson
Clinical Practicum III
October 9, 2019
Target: PTV_Brain
Organs at Risk
The organs at risk include: Spinal cord, Left and Right Optic Nerves, Left and Right
Submandibular glands, Thyroid, Left and Right Eye Globes, Esophagus, Brainstem, and Left and
Right Lens.
Plan Optimization
The plan was normalized so that 95% of the target is receiving 100% of the prescription dose.
Plan 2: Spine
Target: PTV_Spine
Organs at Risk
The organs at risk include: Spinal cord, Left and Right Kidneys, Left and Right Lungs, Thyroid,
Heart, Esophagus, Liver, Rectum, Left and Right Femoral Heads, Stomach, and Bowel.
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The Spine PTV is too long to treat in one field, so I split the field into two isocenters.
Figure 14. Jaw Settings for both Cervical/Thoracic and Lumbar Spine fields.
Plan Optimization
The plan was normalized so that 95% of the target is receiving 100% of the prescription dose.
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Plan Sum
A plan sum was created with all three fields.
During the planning process, I also tried using the Alignment feature through Eclipse treatment
planning system. For some reason we could not get the function to work properly with using all
three fields. The physicist suggested using VMAT to give an evenly distributed dose while
sparing the critical organs.
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References
1. Quantec Normal Tissue Constraints Guide.