•

•
 Patient set up

Set CT isocenter at a stable location.

 PTV High Ring High

Left and Right

Parotid Avoid

PTV
intermediate

Ring
Intermediate

Posterior
Posterior
Avoid
Avoid
 Field 1 Field 2 Field 3
Collimator: 350 degrees 60 degrees 80 degrees
3 arcs
Upper field
Collimator 90 degrees
Lower field
Collimator 90 degrees
Clean- up arc
Collimator 350-10 degrees

Gantry 200-160
 4th priority
(Parallel
Structures)
1st
priority 3rd priority
(PTV
intermediate
and low)

2nd
priority
(High
risk PTV)

4th priority
(Parallel
Structures)
Ashlee Ewing. HN Treatment Planning. Lecture presented at: The Ohio State University; 07/21/20
DOSE DISTRIBUTION
95

Brain Stem Parotid R Brachial Plex R Thyroid PTV_5412

Spinal Cord Parotid L R Submand L Submand PTV_5940
Oral cavity Brachial Plex L PTV_6996
Esophagus
Spinal Cord Esophagus Thyroid
 Actual Dose (cGy)
4857.23 4th priority
2444.58
R: 133.65
L: 158.49 (Parallel
2945.66
n/a
R: 3848.3
Structures)
1st 522.81 L: n/a
n/a

priority
883.34
R: 6279.72
n/a
5952.5
3rd priority
L: 7128.58 5433.8 (PTV
R: 68.67
L: 76.04 intermediate
R: 68.95 L: 76.04 and low)
n/a
n/a
2nd 6996

priority
(High 1748.9
risk PTV)
4724.2

4th priority n/a

(Parallel 2583.1
448.8
Structures) 1211.4

1310.6