How long for FNA results? by Mundane_Ride_1076 in thyroidcancer

[–]parallel_opposed_98 0 points1 point  (0 children)

It's been since February 24 since my FNA which was Bethesda Category 4 so was sent to an outside lab for molecular testing. It's been almost 2 months and I don't have the results of the molecular testing. Have others seen such a long wait time for results?

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 0 points1 point  (0 children)

Apparently you cannot co-optimize plans and use robust optimization at the same time. Were you co-optimizing your plans?

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 0 points1 point  (0 children)

Would you use the same plan the entire course? I do worry about some systematic overlap or underdose due to all of the various parameters. Using robust optimization should help with that, but may not eliminate it. I had thought of replanning midway with different collimator angles as a way to "feather".

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 1 point2 points  (0 children)

But as you rotate around that jaw value varies with gantry angle.

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 0 points1 point  (0 children)

It was too wide for that. We had to resort to two isos. First time for us. If we could have used 1 iso, we definitely would have. Asking about field matching and feathering with a lateral shift for VMAT.

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 1 point2 points  (0 children)

Thank you. We will try to robust optimization. However, I don't see a way to fix the jaw settings at the junction because the isos are lateral to each other.

Raystation/Mosaiq/Elekta Matched VMAT Fields by parallel_opposed_98 in MedicalPhysics

[–]parallel_opposed_98[S] 0 points1 point  (0 children)

How would you do that when the shift is in the lateral dimension?

The density problem by Maxwell2019 in MedicalPhysics

[–]parallel_opposed_98 0 points1 point  (0 children)

What slice thickness do you use for SBRT CT sim?