2016 Hematological Malignancies

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Planning CT, 2 weeks >1

R-DHAP + information from the PET/CT.

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Aim: to treat current extent of disease using ISRT

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Conformal plan:

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4 primary beams (anterior, R & L anterior obliques, and R posterior oblique) +

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2 segments (anterior and Ranterior oblique)

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10 MV photons

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Dose: 40Gy / 20# / 4 weeks

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Standard dose for consolidation RT is 30 Gy

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Refractory disease usually requires higher dose to overcome the resistance.

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Accept slightly higher doses for OAR (e.g. lung V20 <25%, mean heart dose <15 Gy).