© International Commission on Radiation Units and Measurements 2007
APPENDIX B: CLINICAL EXAMPLES
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DISCLAIMER
As in ICRU Reports 50, 62, and 71 (ICRU, 1993b; 1999; 2004), clinical examples are presented here with the aim of illustrating how the recommendations contained in the present report may be applied in practice. The six examples were obtained from different proton therapy centers in different countries. They should not be construed as ICRU recommendations for choosing given treatment techniques, volumes, or dose levels.
DOSE PRESCRIPTION
Absorbed doses (D) are given in Gy, whereas RBE-weighted absorbed doses (DRBE) are given in Gy (RBE). Doses per fraction are stated as d and dRBE, respectively:
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A generic RBE value of 1.1 for the therapeutic use of protons is recommended (i.e., for clinical proton-beam therapy, there is one value, and
CONTRIBUTORS
CASE NUMBER B.1: UVEAL MELANOMA
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
Beam parameters and beam modification elements
CASE NUMBER B.2: ADENOCARCINOMA OF PROSTATE
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
Beam shaping
Equipment
Treatment technique
CASE NUMBER B.3: CARCINOMA OF LUNG
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
Beam shaping
Equipment
Treatment technique
CASE NUMBER B.4: ACOUSTIC NEUROMA
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
CASE NUMBER B.5: MEDULLOBLASTOMA (PEDIATRIC)
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
CASE NUMBER B.6: SKULL-BASE CHORDOMA
General patient information
Medical evaluation of presenting lesion
General medical evaluation
Treatment intent
Treatment planning
Patient immobilization and positioning
Treatment prescription
Treatment technique
Quality assurance
Equipment
Total doses delivered
Patient status at completion of treatment
Addendum: technical information
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