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. 2016 Dec 21;22(2):118–125. doi: 10.1016/j.rpor.2016.10.001

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© 2016 Greater Poland Cancer Centre. Published by Elsevier Sp. z o.o. All rights reserved.

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Fig. 2 — 62-Year old female with liver metastases from melanoma. (a) Diagnosis CT abdomen showing three lesions. (b) Volumetric image of the liver showing two lesions (in red) treated as a cluster with a single isocenter. Green lesion was treated using a second radiosurgery procedure. (c) First SBRT planning treatment with dose in color wash (15 Gy × 4 fractions). (d) Second single fraction SBRT planning treatment (25 Gy). (e) Dose volume histogram for the composite plan showing volume of liver receiving less than 15 Gy. (f) PEC CT follow-up 5 months after SBRT: excellent response to the therapy. Lesions decreased in size and demonstrated no significant FDG uptake.

Fig. 2 — 62-Year old female with liver metastases from melanoma. (a) Diagnosis CT abdomen showing three lesions. (b) Volumetric image of the liver showing two lesions (in red) treated as a cluster with a single isocenter. Green lesion was treated using a second radiosurgery procedure. (c) First SBRT planning treatment with dose in color wash (15 Gy × 4 fractions). (d) Second single fraction SBRT planning treatment (25 Gy). (e) Dose volume histogram for the composite plan showing volume of liver receiving less than 15 Gy. (f) PEC CT follow-up 5 months after SBRT: excellent response to the therapy. Lesions decreased in size and demonstrated no significant FDG uptake.