Establish planning goals
The physician and physicist meet to discuss IMRT treatment planning goals. Time = 15 min.
For our head and neck patient, the treatment plan is as follows:
- 0 - 30 Gy Conventional opposed lateral fields. Assume CTV1 dose = 30 Gy and spinal cord dose = 30 Gy.
- 30 - 60 Gy IMRT Boost 1
- 30 Gy to CTV1
- Spinal cord dose < 10 Gy
- 60 - 75 Gy IMRT Boost 2
- 15 Gy to CTV2
- Spinal cord dose < 5 Gy
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