Rx A: Plan Report

Hospital/Clinic: SURCO Doc Number: Rx A: 19220221221.173918.001 Monaco 5.11.03

Patient Name: ALVARO RIVERA^EUGENIA Save Plan Date/Time: Dec 21, 2022 17:41:12
Patient ID: 20648349 Print Date/Time: Dec 21, 2022 17:42:07

Plan Name: CT1:SS_CT1:p1 Workstation ID: MONACO01 192.168.7.33

Description: RP
Comment:

StudySet Information
Studyset ID: CT1 # of Slices: 190 Pixel Size: 0.08 Scan Orientation: Head First Supine

Plan Information
Treatment Orientation: Head First Supine

Max Dose in Plan (cGy): 4915.1

Max Dose Location (cm): X = 2.03 Y = -109.62 Z = 8.92

Grid Information
Grid Spacing (cm): 0.30 Assigned CTtoED File: DICOM3.philipp
Calculate Dose Deposition to: Medium # of Calculation Points: 2342997
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 4500.0 180.0 25

Actual Dose(cGy): 4596.1

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
2 ARC2 Infinity Photon 6.0 MV 200.0/320.0 5.0 0.0 0.53 -110.22 3.82 360 971.04
Total: 360 971.04

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

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