DOS 522 - Dose Calculations Mantle Field Problem Set Prescribes 20Gy to be treated in 10 fractions. The field arrangement will be equally weighted ‘AP/PA, 6X, prescribed at the isocenter to the 100% isodose line. The field arrangement and beam geometry (X/Y jaws) are stated below in Figure 1, and the blocked field can be evaluated using Figures 2 and 3 for the anterior and posterior fields; respectively. MLCs cannot be used for the blocks, and physical blocks must be used to account for the irregular nature of the blocking required. The photon blocks block out 25% of each field’s area. The SSDs and depths for the calculation points are listed in Figure 4 and the off-axis distances are in Figure 5. Use the data tables attached, along with the supplemental figures, for your calculation. Round to the nearest MU or cGy. pre 1 1. To deliver the desired dose to the prescription point, the calculation is |! MU per field daily. 4 er Based on the calculated MU from Problem 1, calculate the dose to the following points within the treatment plan. 2. The daily dose to the left neck nodes is_237 cGy. The daily dose to the right supraclavicular nodes is AI cGy. The daily dose to the left axilla nodes is _2o2. cGy. The dally dose to the mid-mediastinal nodes is 2O)_ cGy. The daily dose to the lower-mediastinal nodes is _\(21 cGy. auaw #1 Tips (these are not all the factors for the calculation) a) Use the MU calculation equation to calculate the MU per field. b) Find equivalent square using the equivalent square formula; then calculate the blocked equivalent square (equiv sq X % field open = blocked eq sq) ©) Find Sc and Sp based on field sizes given d) Find TMR #2- #6 Tips a) Use the dose to point calculation equation to calculate dose for each anterior and Posterior field in order to get total dose to nodal area b) Don’t forget off axis point calculation in each point ©) Don't forget inv sq equation for these points “The last page is the answer submission page. Print and use this to show your work. Submit this to canvas in the assignment area for grading.Anise Cost fy NMantre Come die = 4( 28,2 x22) DN _ ay Sp Basares 7 Weg 727% Rierted Ta Spgxe— QI- ¥- TT = 10-30 my = Dodse ScxSex POLY ESP x We x ree Ore sues pas B32. 887 Be Bes B42 Tel = loopjyio= lop Dio- 109 814 Sea 1o2u_ |-@os- => |.ne 1,027 FOSS +) o3- Ti 1-031 D7) 03 7082s 1-025— APM = \4e Wwe \vO SY C-0339C 1-2 SC BASSI BEN SU 1.083 Sp= lar T= SSS _ eee Tmeds~ 255 — Tor 5 ls Bee ta TE. 47 L Pre Loo Caos) Cheesy C- FAYE.) = P79 sc 1.033 aie ria SP \.AS T= .83 12 TF= 1353 4as.ys8d 2) Let Nol aus. Beem cer Som | 20 co oMO> PrO4Fu.s 2s T= Sx 1.023 LQ -1.00t = , c0S [sem 2.0017 (BC Se LOS 1-O0W-.00;9 > 1.074 a OD = | 024 WL = Aar.dor= EY/2~ 99° OS (ASD tm= 72 a ee ea loud 1O'F4 = \ oid : ea] PP MVS NS X 1-U3BX 1 O2TK% 1.024% -42W L101 K-47 = = NB-SwW a WA mc \ Coy PA MOz NYY 1-633 RX. V-O2TK 1-O2Y. KR-GAU ¥& L-VIK.47 Beem Sarg O 5-3 = lasqu = (Cen uv DM Sp ctw. APdeern 3.5] amo =T aor ASH” 9% dep 10-0/%9 Wirral = 11.2% BU \-088 unde |.02u 1.017 = 0.07 fen = Lh 8 Se Peed LOT je oree = one = '?® The WUT se = (.4837 TUS SAFES TSes lb7 CZs ye OAL 1. 024 APD ISX 1.083% ).01Sx AUS K 1-01 x. 1024%,97 = 12= SI. SARE oo pir oes ey Sez ea Se ns: Of = WAL 1.083% 1. OZSR.WOGK “OL KI ORY 4.47 aes = A4.06S> = 4 ped \CoyZu+ B AP= AA Dep Qo 4) ett Axia BE TU dem GAS SC (032 ONT BOVE 13? = fax = Ben Se= L075 Or = 1-014 Wl = - 8324. FOU etl fa FZ ms 8 Goa = 1-019 Tse |-01b TF aT AP = NWS 1.0BBKI-MT KL-OZYK.F2 K\-O12K.47 =(00-36 Pre ML= gs + - 8382 = -8YT Sc \-3 Ge at 1olD Sp \-07— 1004 ork 1-024 Tmts gyi Tse + | 01D Te. 9 PAS UY |B LENT Ul x [O12 x4) = ) loz Coy5) De Md Nude -— FO 7 AZT dem. Pr o.2 108 OAL Se 1.033 gee Wwol3 | -ODe > .0d7/Be Sp 2s Trt. Oadyh EHS 1OOLeH HORE THyls .&7 wt ONL= 10083 (SASD% = Loew ses 1 1-OY TR. OW APS NT 1.O3SL1-025 x G7 v1 ODES |.NEx.7) Pare NUR LORBK Ors % ELK LoVESY |-02E¥-47 = tise Sc \- 083 So 1.025 Tt: SZ ONL= 1.0083 Ses )-078 (alee ame = S82. FOULS - F ZONK Cees a tobtW) Loo nade -— ARS IDL BY 3.04 oy 40-7 Sc 1-033 ee Se Nous tere (HOEN2 — jog ee 04 (32D er Cy fa ore = 1-60 \sFe 103 PR™mL= - $2 ms (49 APS NS 1-OBBul-Ovex -O4x |. 1-uy X-47 = Ae Cry Pfr= WAX L-OBBU-OT * ZK |-ODU¥ |-OB KAD GGA oy Fale = 10d coy‘Answer Submission Page Name: _Aoere Coffey Mu Dose lt] Dose SC | Dose ila | Dose Mid | Dose Low Neck Mediastinum | Mediastinum a Ns ud 12S ISOS UO, aq a Wy i> ad loz od 100 Total [a eT Ae [0a T aot 7 195 ‘Show your work here: (use several pages as necessary)