69 year old male with primary CNS lymphoma of the right temporal lobe s/p 5 cycles of IV methotrexate based chemotherapy with re-staging MRI showing 1 cm of residual tumor.
Technique: He was treated with a combination of 2D RT (whole-brain radiation therapy volume) and VMAT (boost volume).
Dose: He received whole-brain radiation therapy followed by a sequential boost to the residual and at-risk areas of disease, as described below:
Simulation: He was simulated supine with a thermoplastic mask and his arms at his sides. The following scans should be fused with the simulation images:
Case contributed by MD Anderson Cancer Center
Contours/dosing per Morris JCO 2013 and Dabaja IJORBP 2020.
Questions? Feedback? Report here