Treatment planning

  • Import CT images. Time = 10 min.
  • Locate the initial isocenter using radiopaque lead fiducials. Time = 2 min.
  • Import target and critical structure volumes. Time = 5 min.
  • Enter planning goals for target and critical structures. For our first IMRT boost, CTV1 target goal = 30 Gy, 5% of the target volume may get less than 30 Gy, but the minimum target dose = 28 Gy, and the maximum = 33 Gy. The spinal cord goal = 2 Gy, 20% of the spinal cord may get more than 2 Gy, but the maximum cord dose = 5 Gy. Below 1 Gy, we are not concerned with the volume of cord irradiated. Time to enter planning goals = 10 min.

Early Palliative Care in Lung CA Focuses on Coping, Symptoms

Jan 31, 2013 - Early palliative care clinic visits, integrated with standard oncologic care for patients with metastatic lung cancer, emphasize symptom management, coping, and psychosocial aspects of illness, according to research published online Jan. 28 in JAMA Internal Medicine.

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