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Re-irradiation for brain

4 isocentric arcs

partial arc

PTV : 85.5 cm3

123-115-72-77 MU

28+28+34+34 sec

15 x 2.7 Gy = 40.5 Gy

brain stem max

pt

dose = 5.4 Gy

chiasma max

pt

dose = 3.4 Gy

left opt nerve max

pt

dose = 3.9 Gy

Chiasma

Left Opt Nerv

PTV

Left Len

Right Len

Right Opt Nerv

Brain Stem

(previous treatment @60Gy [30 months], with brainstem Dmax~54Gy, LeftOptNerv & chiasma Dmax~52Gy)

MR used for planning