Prostate Brachytherapy Lab Self-Assessment Worksheet – Pre-Plan

Patient ID: Patient 2

My Plan Standard Plan

Number of seeds 91 99

Number of needles 21 19

Any single seeds? No No

How many needles with just 2 seeds? 1 0

PTV D90 113% 110.4%

PTV V100 & Prostate V100 95.65%, 96.17% 95.81%, 95.08%

PTV V150 64.94% 64.71%

PTV 200 34.33% 37.16%

Rectum RV100 15.89% 3.86%

Urethra URV150 0% 0%

Urethra URV5 149 Gy 153.2 Gy

Urethra URV30 142.8 Gy 139.2 Gy

In comparison to the standard plan, my plan was:

Better Comparable X

x Needs Improvement
x
Any other comments: This is the second brachytherapy plan I have ever created. I was quite
impressed withx how quickly I was able to produce an adequate plan. I am confused with how
to prioritize xRectal dose. In this plan, the RV100 was 3.86% while in the patient 1, it was closer
to 13.19%. I was closer in the Urethal dose, however, I should try to make it fall off a little more
quickly since my URV30 was higher. I am satisfied with how this plan turned out for my second
attempt, but I think I can make some improvements.