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 Treatment Planning Course

  • April 3rd, 2005
  • 10:27 pm

For this quarter, Alex decided to change our seminar class to a treatment planning course. This course involves working on a treatment plan for a different patient every week. Each student gets to present once and this coming Tuesday happens to be my lucky day.

4thplan_3d_beams

This week, we were supposed to construct a plan that would treat a little girl’s brain tumor. The critical structures included the temporal lobes, pituitary gland, spinal cord, optic nerves and the eyes. Our team got together on Thursday and we put together a reasonable plan. Unfortunately, we couldn’t cover the tumor with the prescription dose of 95%. On Friday, I came in and worked on it a bit more and was able to conform the dose to the tumor. However, the tumor was getting 91% of the dose. I was able to bring down the pituitary and temporal lobe doses significantly.

Today, Neil, Yu and I got together and we finished the plan. We pushed the dose to 97% - something other teams couldn’t get. I think it is attributed to the fact that our beams were at strange, but useful locations.

Look through the images to see the tumor volume and our final beam arrangement.

4thplan_3d_ltlat

2 People had this to say...

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  • fs
  • June 11th, 2005
  • 19:51

that graph looks pretty sophisticated and high tech. cGy = centigray? what is the colored stuff? cerebellar tumor?

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  • bastula
  • June 12th, 2005
  • 02:52

Yep - cGy means centigray. The pink/magenta are temporal lobes and were one of the critical structures that we were to avoid. The dark purple within the brown is the tumor itself.

The brown is the 95% isodose line - this means that 95% of our prescription dose is being covered in this volume. The top green is the 107% line which is our hottest spot - this should ideally be within the tumor volume, but it is not always the case.

The yellow and green structures are optic nerves. You can guess that the light brown is the spinal cord.

I am not sure what region of the brain this tumor is located in, but I don’t believe it is the cerebellum.

Hope that clears up your questions.

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