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Clinical Case Exercise
Whole Brain
Features
Virtual Fluoroscopy
Contouring
Obtaining SSDs
Virtual Simulation
Constructing blocks
Whole Brain
Technique - TAD
Patient Position - Supine
Scan Parameters
3 mm thick x 3 mm index
Scan from top of cranium to C2 and include one
image of air
Treatment Plan
Right and Left laterals with a customized block to
shield the ocular lens and retina
2cm flash superiorly, 2cm flash anteriorly and
posteriorly
Open Study
Select Study
Select Open
Select Whole Brain
Study will load
Set VOI
Press Left mouse button with
cursor on VOI edge
Pull edges in and release
Eliminate table and air as seen in
all viewports
Press right mouse button, drag to
SAVE VOI, and release
Access Virtual Fluoroscopy
Select Virtual Fluoroscopy
Study will load all scans
Split - 4 Layout
Ref 2-D
View
AP LAT
DRR DRR
Isocenter Manager
Select Isocenter Manager
On screen will appear
Comment:
Scan Volume
Click outside of blue box
Isocenter defaults to scan
volume, 10 x 10 cm field
Adjust Isocenter
Move cursor to LAT DRR
viewport
Press and hold left mouse
button
Move patient to
approximate center of
desired field
Adjust Isocenter
Move cursor to AP DRR
viewport
Press and hold left mouse
button
Move patient to
approximate center of
desired field
Adjust Field Size
Move cursor to LAT DRR
viewport
Press and hold right mouse
butt
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