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Esophageal PDF
Esophageal PDF
Renee Jackson
The most common technique that is used in my clinic to treat esophageal cancer is using the
Rapid Arc. This allows a conformal dose around the PTV while sparing the surrounding critical
organs.
Organs at Risk
The organs at risk include: Spinal cord, Rt Lung, Lt Lung, Heart, Total Lung and Esophagus.
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Plan Optimization
The plan was normalized so that 95% of the target is receiving 100% of the prescription dose.
The plan normalization value was 100.7.
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The Global max dose was 106.3%. It is located inside of the PTV.
DVH
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Dose Constraints
V45 = %
Heart V45 < 67%
V60 = %
This plan used static IMRT fields using the SupaFirefly esophageal technique.
Organs at Risk
The organs at risk include: Spinal cord, Rt Lung, Lt Lung, Heart, and Esophagus.
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Plan Optimization
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The plan was normalized so that 95% of the target is receiving 100% of the prescription dose.
The plan normalization value was 98.4.
The Global max dose was 105.6%. It is located inside of the PTV.
DVH
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Dose Constraints
V45 = %
Heart V45 < 67%
V60 = %
Plan Comparison
The triangles in the DVH represent the SupaFirefly plan and the squares represent the Rapid arc
plan. Both plans had very similar readings, the largest difference was the dose to the spinal cord
and heart. I would choose the Rapid Arc plan over the SupaFirefly plan. The Rapid arc plan
allowed the dose to the heart and spine to be lower, which are the two most important organs at
risk for this patient. The arrangement of the beams with the SupaFirefly technique was not as
helpful as the Rapid arc plan, because the technique placed beams going directly through spinal
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cord and heart leaving a star streaking effect of the 50% isodose line. The 50% line was more
conformal in the Rapid arc plan. However, I look forward to trying the SupaFirefly technique on
future patients.
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References