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. 2015 Apr 1;2:5. doi: 10.3389/fvets.2015.00005

Table 4.

Reporting of treatment delivery and beam information as recommended by the ACVR-RO.

Patient number Treatment interruptions Deviation from protocol Beam quality and energy Equipment SSD/SAD Technique Beam weighting Field size (cm) Beam modification and bolus Skin bolus
1 No No 6 MV Clinac 2100 SSD Single field N/A 4.8 × 7.4 None 0.5 cm bolus

2 No Reduced field size to 4 cm × 6 cm for doses #6–7 Co-60 Co-60 SSD Single field N/A 7 × 10 for 5 fractions, 4 × 6 for 2 fractions Lead block in front of tongue. Gel agent inside cheek None

3 No No 4 MV Clinac 4 SAD Parallel opposed Equal 5 × 8 None None

4 No No Co-60 Co-60 SSD Single field N/A 6 × 8 Pink bolus in mouth and superflab between gingiva and lips None

5 No No 6MV Clinac 2100 SAD Parallel opposed Equal 7.4 × 4.4 Mouth block; MLC on 270° beam None

6 13-day break between fraction #7 and #8 Fraction #8 and #9 given at dose of 6 Gy after the 13-day break 4 MV Clinac 4 SSD Single field N/A 5.5 × 9.5 Wet gauze in mouth None

7 Not described Not described 4 MV Clinac 4 SAD Parallel opposed Equal 3.6 × 11.5 Wedges (15°) on both 0 and 180° beams Not described

8 Not described Not described 4 MV Clinac 4 SAD Parallel opposed Equal 24 × 12 None None

9 No No 6 MV Clinac 2100 SAD Parallel opposed Equal 8 × 16 None 1 cm bolus

10 Only received 5/6 prescribed palliative doses Record not available Co-60 Co-60 SSD Record not available Record not available Record not available Record not available Record not available

11 Last treatment not given Changed plan after 1st fraction 6 MV Clinac 2100 SAD Single field for first fraction, then parallel opposed Equal 13.4 × 13.1; then 11.4 × 8.4 First fraction: MLC, Subsequent fractions: MLC on both fields, with wedge (45°, left) on 210; mouth block 1 cm on angle 210 field

12 No First fraction received 3 Gy 4 MV Clinac 4 SSD Single field N/A 6.5 × 4.5 None 0.5 cm bolus

13 No 2 treatments on same day (fraction 11–12) 6 MV Clinac 2100 SAD 2 field: 90 and 275 beam angles 1.5 (beam angle 275), 0.5 (beam angle 90) 9 × 13.1 and 8.9 × 13.1 Mouth block; wedge 15°(right) on 90° beam Wet gauze 0.5 cm

MV, megavoltage; SSD, source to surface distance; SAD, source to axis distance; MLC, multi-leaf collimator.