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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