22
Left Breast + LNs Vanessa Magliari : [email protected] Anthony Magliari : [email protected]

Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : [email protected] Anthony Magliari : [email protected]

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Left Breast + LNs

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 2: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

What is in my pocket?

-Eclipse version 13.6

-AcurosXB

- Truebeam with Millenium 120

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 3: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Which Technique?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 4: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 5: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Gantry colli couch

Page 6: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Gantry colli couch

Page 7: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Gantry colli couch

Page 8: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Gantry colli couch

Page 9: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 10: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 11: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

The most important for an IMRT :

How to setup your beams?

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 12: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization contours 95 per Ring : 2.5cm –(Heart+Lung) at 1.5cm from

the target

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

2.5cm

1.5cm

Page 13: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization contours

NS-Ring : 0.8cm

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 14: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization contours

HotSpotHere

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 15: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization contours PTV TOT EVAL OPT :

(PTV TOT EVAL – HotSpotHere)

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 16: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization constraints

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 17: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization constraints

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 18: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Optimization constraints

NTO

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 19: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Calculation Options

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

Page 21: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Dose calculation algorithm

differences

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]

● AAA

▪ AcurosXB

▲Collapsed Cone

In this comparison the original plan was calculated using Collapsed Cone algorithm on a Varian IX machine with Millenium 120 MLC. The plan and dose where imported into Eclipse. The plan was copied and recalculated with fixed MU and then normalised to 95% coverage at prescription dose with both AAA and AcurosXB

Page 22: Left Breast + LNs IMRT Eclipse Webinar Presentation.pdfLeft Breast + LNs Vanessa Magliari : vanessa@magliari.com Anthony Magliari : anthony.magliari@varian.com

Thank you !

To Ahmad for his amazing work,

time and effort so we can learn

and evolve together!

Vanessa Magliari : [email protected]

Anthony Magliari : [email protected]