CYBERKNIFE SYSTEM

L1 – L2 Paraspinal Meningioma

Case History

AGE: 52-year-old
GENDER: Male

Medical History

Persistent lower back pain, paresthesia in the right groin fold

MRI: Lesion compatible with a paraspinal meningioma measuring 4.1cm at the level of L1-L2

Planning CT Images

Treatment Plan Images

Treatment Planning Highlights

Fractionation

21 Gy in 3 fractions

PTV(s) Volume

PTV, 15.7 cc

Dose Distributions

  • Prescription to the 77.9% isodose line
  • Max. dose 29 Gy

Collimator

Iris Variable Aperture Collimator

Dose Calculation Algorithm

Ray Tracing

New Conformality Index (nCI)

nCi = 1.47

Gradient Index (GI)

GI = 4.24

Protocol Used

RECORAD

Treatment Delivery Information

Tracking Method

Synchrony® Spine Tracking

Total Delivery Time

34 minutes

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