Submission Packet

You are required to submit this packet with each submission of your paper. You
will build on each draft and will also build on each submission packet so it will
represent the changes of your paper from start to finish. In this packet, you will
find:
I. Statements
II. Change Matrix
III. AMA Formatting Checklists
The instructions for each section are listed below. Copy and paste the statement
page, change matrix table and AMA formatting checklist table to the first page
of your draft submission. Remember that you should build on each submission.
Statements
Remember the problem, purpose and hypotheses statements that we worked so
hard on last semester? We will be using them again! They should be stated in
your paper (just as we worked on in your research proposal) but we are also
asking you to spell them out here as a reminder of the foundational basis for your
research.
Purpose Statement: The purpose of this study is to compare treatment planning techniques and
examine the precentral gyrus dose in an extreme SRT case of 36 metastatic brain lesions.
Problem Statement: The problem is that the precentral gyrus is rarely considered a dose
limiting treatment planning structure despite known motor and cognitive deficits associated with
irradiation.
Case Study Goals:
Goal 1: To compare the dose to precentral gyrus between SRT, WBRT-HA, and traditional
WBRT.
 Change Matrix
A change matrix is required with every milestone document submission.

A detailed change matrix simplifies the review process and indicates to the instructors and advisors that
the author has demonstrated a clear and thorough response to reviewer comments.

Reviewer comments are not intended as an exhaustive list. It is the Learner’s responsibility to correct
any additional errors that are not specifically noted by the reviewer and to address the requirements of
the capstone project. All instances where changes have been made should be clearly noted.

If, after discussion with the group, there are questions about a reviewer’s comments, it is the
responsibility of the group leader to reach out to the instructors and advisor via email for clarification.

If, after discussion with the instructors, the author chooses not to make a requested change, the
author must provide a brief rationale, and describe how they addressed reviewer concerns.

Failures to consider, address, and notate within the Change Matrix will result in the manuscript being
returned to the group without comment.

Copy and paste the instructor’s comment from your draft into the matrix.

You will continuously build on this change matrix so that any/all comments can be reviewed at any given
time in the projects progress.

Title of Capstone: A case study of precentral gyrus dose when controlling 36 metastatic brain
lesions with SRT, WBRT-HA and WBRT
Group: Jeremy Marshall, Erika Winn, Evangelia Andrews

Reviewer’s recommendation How addressed Page numbers where

change appears

Nishele- Studies can't suggest. Researchers Replaced “studies” with” researchers P1

have suggested... Intro. paragraph 2

Matt - Do we need a reference for this
statement?
Nishele- I agree with Matt on the last revision
here that it seems you need a reference citation
here. I am certain you did not come up with
this and the next sentence on your own and
you are not anatomy experts.
Matt - Is this a complete sentence? It doesn't
read like it to me.
Reference for frontal lobe function added. P1
Teffer K, Semendeferi K. Human prefrontal Intro. paragraph 1
cortex. Evolution of the Primate Brain.
2012:191-218. https://doi.org/10.1016/b978-
0-444-53860-4.00009-x
Reference for anatomic description of
precentral gyrus added.
Ribas GC. The cerebral sulci and gyri.
Neurosurgical Focus FOC. 2010;28(2):E2-.
https://doi.org/10.3171/2009.11.FOCUS0924
5
Sentence changed, “There are various...” was P1
inserted at the beginning of the sentence. Intro. paragraph 1

Should this read something more like, "There

are various neural structures which make us
the frontal lobe, each respo......."
Matt - I agree with this sentence but it feels Sentence was moved into following P1
out of place here as I'm reading the following paragraph to improve the flow of the piece. Intro. paragraph 1-2
paragraph.
Ashley - Can’t begin sentence with WBRT has been spelled out “Whole brain P1
abbreviation. radiotherapy” Intro. paragraph 2

Nishele - This sentence still does not read Sentence has been broken up into 2 sentences P1
well. and rewritten Intro. Paragraph 2

Ashley - Remove extra space below paragraph Extra space between paragraphs removed P1-2
Intro. paragraph 2-3

Ashley – Spell out first use. Replaced with “Quantitative Analysis of P2

(QUANTEC) Normal Tissue Effects in the Clinic Intro. Paragraph 4
(QUANTEC)”
Ashley - Where is the mention of your The previous sentence was replaced with the P2
problem statement? This is the fundamental approved problem statement from RPD. Intro. Paragraph 4
reason why you are doing this research.
Ashley - This is out of order. You should Sentence re-ordered; problem statement first P2
mention your problem statement and your followed by purpose statement. Intro. Paragraph 4
purpose statement first.
Matt - Is this truly SRS (single fraction). From Prescription and fractionation confirmed P2
what I've seen, as the number of lesions SRT. All instances of “SRS” have been Intro. Paragraph 4
increases the number of fractions needed also replaced with “SRT”. References for SRS
increases due to the volume of normal brain have been replaced with references for SRT. (SRS to SRT revision
being treated. As such, this is no longer occurs across the draft,
considered SRS (single fraction) treatment, from title to
but SRT (multi-fraction) brain treatment. conclusion.)
Please clarify.
Ashley - This is not the approved purpose The previous sentence was replaced with the P2
statement from your RPD. approved purpose statement. Ensured Intro. Paragraph 4
sentence order per Ashley’s previous
comment.
Ashley - You have no hypothesis, only goals Sentences involving a hypothesis have been P2
of the case study. Go back to the RPD and replaced with approved goals from RPD. Intro. Paragraph 4
review and then incorporate your goals into
the RPD.
Ashley - Remove . after each word Reference has been removed and replaced P4
due to SRS to SRT change. References

Nishele - Is the next sentence after this part of Sentence in question was should have been P2
citation #1? If so I would combine the two apart of citation #1. Sentences were Intro. Paragraph 3
sentences and cite it. Otherwise, I find it hard combined as suggested.
to believe you are the person who know there
is lesser risk of cognitive failure (no citation).
Matt – Please reword. I’m not exactly sure Sentence has been reworded and incorporates P2.
what you’re trying to say here. SRT instead of SRS. Patient Demo.
paragraph 1.
Matt - These sections jump around a bit. First Section has been reorganized per Matt’s P3.
you're talking about mets, then OAR recommendation. Section restructured as Structure Delineation
structures, then 2 of the mets, then describing follows: Define OAR, define precentral
the location of the precentral gyrus, then gyrus location, number of mets, location and
talking about the location of mets to the proximity to gyrus
sulcus. I'd reorganize this some. Talk about
defining organs at risk...then about defining
the precentral gyrus...then about the number of
mets total and the number located in close
proximity of the gyrus.
Matt - As a reader trying to reproduce your Section has been expanded to include more P3-4
technique, can I do it with the information specifics of the treatment planning. Arc Treatment planning
provided here. If the answer is no, which I angles, collimator rotation, couch rotation, paragraph 1-4
believe it is, then it needs to be explained blocking, energy used, and additional details
better. How many transverse arcs were there? were included.
Three of the beams apparently had two
different couch angles, 45 and315 degrees,
which I didn't know you could do with one
rapid arc beam, let alone 3.
Nishele - Technically you shouldn't be posing Sentence has been re-phrased as suggested to P1
a question here. You should re-phrase such avoid posing a question. Intro. Paragraph 3
as ...cognitive tissue; however researchers (or
clinicians) question whether there is an upper
limit...'
Nishele - use scholarly language. Sentence has been removed and replaced to P1.
just say is not contoured ... improve clarity and readability. Intro. Paragraph 4

Nishele - Case study is not evaluating. The Replaced “case study” with “The researchers P1
researchers are evaluating... seek to evaluate...” Intro. Paragraph 4

Nishele - Again - you are giving credit to a Replaced “This retrospective case study aims P2
non-human thing. Researchers aim to to …" with “The researchers aim to Patient Demo.
evaluate... evaluate...” Paragraph 1
also use the greater than symbol

Nishele - And? So what if they were of Section reworded and expanded to provide a P2
interest. better description of the targets which were Structure Delineation
I don't feel like you are actually listing out the delineated including GTV identification and paragraph 1-3
structures that were delineated. This section is expansion to for PTV.
to be specific in which structures were
delineated.

Nishele - This isn't planning section. This is Paragraph moved from structure delineation P3
contouring. to treatment planning section Structure delineation -
> treatment planning
Nishele - use degree symbol throughout the “Degrees” was taken out and replaced with P3
paper degree symbol Tx planning paragraph
2&4
Nishele - in 10 what? Section has been rewritten to include more P3-4
You need to write in scholarly language; not specifics of the treatment planning and Tx planning paragraph
slang. And write in completed sentences. include scholarly language. 1-4

Nishele - too short to be a stand-alone Section has been expanded to include more P3-4
paragraph. i assume you'll be expanding this specifics of the treatment planning. Tx planning paragraph
section. 1-4
AMA Referencing Quick Guide Checklist
Correctly using AMA formatting is one of the few aspects in the Capstone project that you have
complete control of whether it is your first outline submission or the final draft. Use this AMA quick
guide checklist to avoid common AMA formatting mistakes and receive the greatest number of points
possible. Not everyone has the ability to be an exceptional scholarly writer and researcher, however,
everyone has the capability of using AMA formatting correctly. Review this guide for EVERY submission
(discussion post, outline, draft) in the research courses and ask yourself the following questions:

Task Submiss Submissio Submissio Submissio Submissio Submissio Submissio

ion n Date: n Date: n Date: n Date: n Date: n Date:
Date:
8/5/22

Manuscript
Written in past ☐ ☐ ☐ ☐ ☐ ☐ ☐
tense?
Written in size 12,
☐ ☐ ☐ ☐ ☐ ☐ ☐
Times New Roman
font
Paragraphs include at ☐ ☐ ☐ ☐ ☐ ☐ ☐
least 3 sentences
Page numbers?

**The default font

for page numbers is ☐ ☐ ☐ ☐ ☐ ☐ ☐
Calibri, size 11 even
after you have
changed the font in
your paper so make
sure to check
Spell out
abbreviation at first
use if not recognized
by AMA

***Remember that ☐ ☐ ☐ ☐ ☐ ☐ ☐
you may
add/subtract content
with each draft so
something that once
spelled out might be
removed and need to
spelled out again
Spell out numbers ☐ ☐ ☐ ☐ ☐ ☐ ☐
and abbreviations
that begin a
sentence?

**If an abbreviation
must be spelled out
to begin a sentence,
do not include the
abbreviation in
parentheses after
words unless this is
the first use.
Numeric values when
referring to numbers ☐ ☐ ☐ ☐ ☐ ☐ ☐
in sentence (“3”, not
“three”)
Reference
superscripts after ☐ ☐ ☐ ☐ ☐ ☐ ☐
each sentence I used
a reference?
OAR is properly
defined as organS at
risk.

**This is a common ☐ ☐ ☐ ☐ ☐ ☐ ☐
mistake, even in
journal publications.
By saying OARs, you
are implying organs
at risks which doesn’t
make sense
If I directly cited an
author, did I
immediately include ☐ ☐ ☐ ☐ ☐ ☐ ☐
the reference
superscript following
the author’s name?
Tables and figures
are referenced in-
text directly ☐ ☐ ☐ ☐ ☐ ☐ ☐
following the
sentence (….(Figure
1).
All terms must be
spelled out in the
abstract and
manuscript at first
use
☐ ☐ ☐ ☐ ☐ ☐ ☐
**So if you refer to
and spell out VMAT
in the abstract, you
must also define the
term again in the
manuscript
Scholarly writing is
appropriate

**Do not use terms ☐ ☐ ☐ ☐ ☐ ☐ ☐

such as max, cord,
rad onc, simmed etc.
Spell out these terms
and avoid slang
All reference of our ☐ ☐ ☐ ☐ ☐ ☐ ☐
profession should be
written as “medical
dosimetrist” not just
“dosimetrist.”

**Remember that
there are other types
of dosimetrists
Is my paper
formatted according
☐ ☐
the instructions? ☐ ☐ ☐ ☐ ☐
Case study vs.
Research Paper

Reference Page
Page break
before this ☐ ☐ ☐ ☐ ☐ ☐ ☐
section?
Capitalize the
first letter of the
☐ ☐ ☐ ☐ ☐ ☐ ☐
first word in the
title only
Abbreviate and
italicize the ☐ ☐ ☐ ☐ ☐ ☐ ☐
journal?
Year, volume,
issue and page
number written
without any
spaces?

**If you didn’t

find one listed,
consider ☐ ☐ ☐ ☐ ☐ ☐ ☐
completing
another
literature search
review. If you
cannot find one,
reach out to
instructor for
help
Doi?

**Remember
that most
publications
have doi
numbers now so
☐ ☐ ☐ ☐ ☐ ☐ ☐
if you do not
locate one on
the original
article, complete
another
literature search
to find it.
Format dois like
this:
http://doi.org...
☐
☐ ☐ ☐ ☐ ☐ ☐
**Remember
this has changed
from last
semester
Listed in
chronological
order as they are ☐ ☐ ☐ ☐ ☐ ☐ ☐
referenced in
text
Figures and Tables
Page break
before each ☐ ☐ ☐ ☐ ☐ ☐ ☐
section?
Each heading is
bolded and
☐ ☐ ☐ ☐ ☐ ☐ ☐
centered for
each section
If 2 figures are
related, they are
☐ ☐ ☐ ☐ ☐ ☐ ☐
to be labeled as
A and B.
Captions are
written in
complete
sentences and ☐ ☐ ☐ ☐ ☐ ☐ ☐
single spaced
starting with
“Figure 1”
Figure captions
appear after the ☐ ☐ ☐ ☐ ☐ ☐ ☐
figure
Table captions
appear before ☐ ☐ ☐ ☐ ☐ ☐ ☐
the figure
All patient
identifying
information is
☐ ☐ ☐ ☐ ☐ ☐ ☐
blocked and
fused with the
original image
All table axis,
labels and
legends are in
☐ ☐ ☐ ☐ ☐ ☐ ☐
Times New
Roman, size 12
font
Any DVHs ☐ ☐ ☐ ☐ ☐ ☐ ☐
include structure
labels directly on
the DVH
Vertical lines are
removed from ☐ ☐ ☐ ☐ ☐ ☐ ☐
tables
Single line
spacing used for
☐ ☐ ☐ ☐ ☐ ☐ ☐
figure and table
descriptions