Rx A: Plan Report

Hospital/Clinic: SURCO Doc Number: Rx A: 19220221221.173746.000 Monaco 5.11.03

Patient Name: JACINTO IBARRA^JANET Save Plan Date/Time: Dec 21, 2022 17:53:43
Patient ID: 09145311 Print Date/Time: Dec 21, 2022 17:54:27

Plan Name: CT1:SS_CT1:p2 Workstation ID: MONACO01 192.168.7.33

Description: rp
Comment: Density overrides used in Monaco calculation

StudySet Information
Studyset ID: CT1 # of Slices: 140 Pixel Size: 0.09 Scan Orientation: Head First Supine

Plan Information
Treatment Orientation: Head First Supine

Max Dose in Plan (cGy): 4419.9

Max Dose Location (cm): X = 3.23 Y = -112.24 Z = 7.53

Grid Information
Grid Spacing (cm): 0.30 Assigned CTtoED File: DICOM3.PHILIPSURCO
Calculate Dose Deposition to: Medium # of Calculation Points: 1639407
Force entire volume to be treated as water: No

Prescription Information: [A]

Rx Site Prescribe To: Rx Dose Fractional Dose Number of

(cGy) (cGy) Fractions
Plan Isocenter 4005.0 267.0 15

Actual Dose(cGy): 2305.9

Rescale: No user normalization applied

Algorithm: Monte Carlo Photon

Statistical Uncertainty (%) per Calculation: 1.00
Delivery Mode: VMAT

Beam Information
Scan Reference Coordinates (cm): No Scan Reference Point has been selected

Seq. Description Treatment Modality Energy Gantry Coll. Couch Isocenter # of MU/Fx
Unit (deg) (deg) (deg) X(cm) Y(cm) Z(cm) Segs
1 arc1 Infinity Photon 6.0 MV 290.0/220.0 350.0 0.0 6.53 -110.14 3.93 292 1222.08
Total: 292 1222.08

Approved by:
Name:_____________________________ Signature:_____________________________ Date:______________________

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