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  • Csi Planreview

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    The clinical site treats few CSIs with photons and most are treated with protons. The trainee created their first CSI plan by combining forward and inverse photon planning but it received a low ProKnow score. After changing the brain plan to IMRT with recommendations, the second plan scored higher. The trainee acknowledged a proton plan would likely be superior but they were still learning.

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    The clinical site treats few CSIs with photons and most are treated with protons. The trainee created their first CSI plan by combining forward and inverse photon planning but it received a low ProKnow score. After changing the brain plan to IMRT with recommendations, the second plan scored higher. The trainee acknowledged a proton plan would likely be superior but they were still learning.

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    8 views1 page

    Csi Planreview

    Uploaded by

    api-645453685
    The clinical site treats few CSIs with photons and most are treated with protons. The trainee created their first CSI plan by combining forward and inverse photon planning but it received a low ProKnow score. After changing the brain plan to IMRT with recommendations, the second plan scored higher. The trainee acknowledged a proton plan would likely be superior but they were still learning.

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    of 1

    My clinical site treats very few CSIs in the photon practice.

    Most of these patients are


    treated with protons. I have not had my rotation through that department yet, but I can
    only image how great the plans turn out.

    My first attempt at planning this CSI was to combine two planning approaches with
    photons; forward planning on the brain (3D, 2 laterals) and inverse planning (IMRT, 4
    posterior arcs on the upper and lower spine). This was my clinic's approach to treating
    CSIs before proton technology came along. I did not show my plan to a physician at any
    point.

    After I completed my first plan my ProKnow score was a C and not much room for
    improvement. The constraints in the brain were impossible to meet with the 3D plan, so
    I changed that to an IMRT plan and was able to achieve an A in ProKnow. My preceptor
    recommended 4 full IMRT arcs for the brain plan.

    My second attempt at planning this CSI was no means perfect, but I believed it was an
    improvement over the initial plan. Id like to think that I would not treat this plan
    clinically. I'm sure a proton plan would put mine to shame. Proton DVH's look beautiful!
    I cant wait to learn!!

    -Jenn

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