Rx A: Plan Report

Custom English (United States) Format In-use Monaco 6.1.2.0

Hospital/Clinic:
Doc Number: Rx A: 19220240320.140236.001
Patient Name: LEILA CARRAFA DOS Save Plan Date/Time: 20-Mar-24 14:24:41
SANTOS
Patient ID: 018233-8 Print Date/Time: 21-Mar-24 08:47:09
Plan Name: CT1:SS_CT1:BOOST Workstation ID: MONACO1 192.168.15.60
Description:
Comment: Width, length, wedge are MONACO values. XYZ positions are in MONACO coordinates.
Automated export of the patient setup shift is enabled. Please confirm correct shift coordinates.
Density overrides used in Monaco calculation
StudySet Information
Studyset ID: CT1 # of Slices: 166
Pixel Size: 0.10 Scan Orientation: Head First Supine

Plan Information
Treatment Unit: Last Modified Date:
Precise01 22-Nov-18 14:01:35

Treatment Orientation: Head First Supine

Max Dose in Plan (cGy): 859.1
Max Dose Location (cm): X = -14.09 Y = -90.05 Z = 6.91

Grid Information
Grid Spacing (cm): 0.30 Assigned CTtoED File: DICOM3.GammexToshibaA
Assigned CTtoED File Description: GAMMEX TOSHIBA
Calculate Dose Deposition to: Medium # of Calculation Points: 2477520
Force entire patient to be treated as water: No

Approved by:
Name: Fernando Batista Status: Approved

Date: 20-Mar-24 14:29:16

Page 3 of 6
 Rx A: Plan Report
Custom English (United States) Format In-use Monaco 6.1.2.0
Hospital/Clinic:
Doc Number: Rx A: 19220240320.140236.001
Patient Name: LEILA CARRAFA DOS Save Plan Date/Time: 20-Mar-24 14:24:41
SANTOS
Patient ID: 018233-8 Print Date/Time: 21-Mar-24 08:47:09
Plan Name: CT1:SS_CT1:BOOST Workstation ID: MONACO1 192.168.15.60
Description:
Comment: Width, length, wedge are MONACO values. XYZ positions are in MONACO coordinates.
Automated export of the patient setup shift is enabled. Please confirm correct shift coordinates.
Density overrides used in Monaco calculation
Prescription Information: [A]
Rx Site Prescribe To: Rx Dose Fractional Dose Number of Fractions
(cGy) (cGy)
MAMA DIREITA Center of PTV BOOST 801.0 267.0 3
488Gy
Actual Dose(cGy): 837.1
Rescale: 100.00 % of 780.0 cGy to cover 95.00 % of PTV BOOST 488Gy
Dose rescaled by a ratio of 1.045
Algorithm: Collapsed Cone Photon
Delivery Mode: 3D
Store and display dose in couch structures: No
Beam Information
Scan Reference Coordinates (cm): No Scan Reference Point has been selected
Beam Description Field Treatment Modality Energy Gantry Coll. Couch Isocenter # of MU/Fx
# ID Unit (deg) (deg) (deg) Segs
X(cm) Y(cm) Z(cm)
1 INT1 1C Precise01 Photon 6.0 MV 20.0 350.0 0.0 0.01 -82.25 -0.29 4 135.09
2 LAT DIR 2C Precise01 Photon 6.0 MV 290.0 0.0 0.0 0.01 -82.25 -0.29 0 38.94
3 EXT1 3C Precise01 Photon 6.0 MV 220.0 10.0 0.0 0.01 -82.25 -0.29 4 131.97
Total: 8 306.00

Approved by:
Name: Fernando Batista Status: Approved

Date: 20-Mar-24 14:29:16

Page 4 of 6