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
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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