Brain and Spine: Dose Painting /Conformal A id /T h i lAd ... - ASTRO

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Conventional Co e t o a Dose ose Painting a t g 63.0 59.4 50.4 45.0 30.0
RTOG 0933 Phase II Trial of Hippocampal pp p Avoidance During g Whole Brain Radiotherapy for brain metastases • Fused planning MRI CT Fused planning MRI CT image set • Hippocampal avoidance regions will 3D expansion of hippocampal contours by 5 mm.
Page 1 and 2: Brain and Spine: p Dose Painting /C
Page 3 and 4: Objectives • Review the technical
Page 5 and 6: Dose distribution for spine tumors
Page 7: Transmitted BBeamlets l t Intensity
Page 10 and 11: RADIATION ONCOLOGY Transition to Im
Page 12 and 13: Therapeutic p Index Control Dose (G
Page 14 and 15: Ling CC et al al. IJROBP 47:551-560
Page 16: Early days of Stereotactic Radiosur
Page 19 and 20: Different radiosurgery units
Page 21 and 22: Leksell Gamma Knife C Leksell Gamma
Page 23 and 24: Treatment plan with composite shots
Page 25 and 26: Preop MRI brain T1 w/ Gd
Page 27 and 28: RTOG 0825
Page 29 and 30: Sequential Planning 9.3 9.0 7.0 Pha
Page 31 and 32: Sequential Planning Six static IMRT
Page 33: Simultaneous Integrated Boost Deliv
Page 37 and 38: Coronal isodose distribution
Page 40 and 41: Patient Immobilization
Page 42 and 43: Modern: 16-18 Gy x1 SBRS to squamou
Page 44 and 45: Hybrid Arc Approach
Page 46 and 47: Solid black represents the tumor RT
Page 48 and 49: RTOG 0631 Treatment Planning/Target
Page 50 and 51: Radiobiology of Radiosurgery Balaga

Brain and Spine: Dose Painting /Conformal A id /T h i lAd ... - ASTRO

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