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Right Eye / Cheek

Gallery: Face SCC (Right Eye/Cheek)

Details: OptiBol boluses with user-requested buildups (to target) of 15 mm (left) and 10 mm (right)

Summary

This is the dataset used in the AAMD 2024 Plan Study and publicly available via the ProKnow Quality Systems website.

This patient has a recurrent squamous cell carcinoma of the right face anterior to the maxilla having received MOHS twice with cranial nerve V2 involvement to Meckel’s Cave.

Gallery

  1. Two variations of variable-thickness boluses, here shown with user-defined goal buildup depths of 15 mm and 10 mm (min buildup to underlying PTV)
  2. Four-panel view in the p.d software showing an OptiBol with 15 mm goal buildup
  3. OptiBol variations without (left) and with (right) optional alignment guides
  4. Depth-volume histograms for the voxels in the underlying PTV shown with no bolus vs. OptiBol 15 mm

Details on Depth-Volume Histograms (Gallery Item 4)

Variable-Thickness OptiBol (Goal 15 mm to Target)

  • 100% of the target voxels have min depth ≥ 10 mm (0% target < 10 mm)
  • 97% of the target voxels have min depth ≥ 14.25 mm (where 14.25 mm is 95% of the goal buildup for this bolus design)
  • 94% of the target voxels have min depth ≥ 15 mm

No Bolus

  • Only 57% target voxels have min depth ≥ 10 mm (43% target < 10 mm)
  • Only 41% of the target voxels have min depth ≥ 14.25 mm
  • Only 39% of the target voxels have min depth ≥ 15 mm