CYBERKNIFE SYSTEM

One Brain Metastasis

Case History

AGE: 65-year-old
GENDER: Female

Medical History

Small Cell Lung Cancer (SCLC), diagnosed and treated six months ago: Surgical resection of the primary lung tumor followed by adjuvant chemotherapy and radiotherapy

Patient has been experiencing headaches, dizziness, and occasional balance issues

MRI: metastasis in the cerebellum, measuring 3.2cm

Planning CT Images

Treatment Plan Images

Treatment Planning Highlights

Fractionation

35 Gy in 5 fractions

PTV(s) Volume

1 brain metastasis, 11.2 cc

Dose Distributions

  • Prescription to the 82% isodose line
  • Max. dose 42.7 Gy

Collimator

Iris Variable Aperture Collimator

Dose Calculation Algorithm

Ray Tracing

New Conformality Index (nCI)

nCi = 1.07

Gradient Index (GI)

GI = 3.07

Protocol Used

RECORAD

Treatment Delivery Information

Tracking Method

Synchrony® Skull Tracking™

Total Delivery Time

38 minutes

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