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External Beam RT for Prostate Cancer - ASTRO

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VMAT <strong>for</strong> prostate<br />

• Similar to IM<strong>RT</strong> <strong>for</strong> inverse planning<br />

• 2 arcs (clockwise then counter)<br />

• Gantry angles 210-150 °, 150-210 °<br />

– May y extend to 182-178 °, , 178-182 ° <strong>for</strong> LN cases<br />

• 6MV<br />

• Avoid 0° 0 collimators to reduce “tongue tongue & groove effect effect” of<br />

MLC<br />

– Usually 10-45° but rotated in opposite directions <strong>for</strong> 2 nd arc (e.g. 15 vs. 335 °)<br />

• Avoid couch kicks unless absolutely needed<br />

• Typically start w/ 10x10 cm field<br />

• WWatch t h ttotal t l MU’ MU’s (96% mean

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