Rad Onc in The NEJM

[Ray D. Ayshun]

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That pic is from radiation treatment planning wiki page. Does look like dosimetry from 50 met srs plan.

 

[elementaryschooleconomics]

That pic is from radiation treatment planning wiki page. Does look like dosimetry from 50 met srs plan.

"I can't help but notice you didn't spare a strip of skin on the neck..."

- Boomer RadOnc in chart rounds

 

[TheWallnerus]

View attachment 353246

"I can't help but notice you didn't spare a strip of skin on the neck..."

- Boomer RadOnc in chart rounds

"Brain tissue is known to stretch to the second vertebral body" - Boomer, also

 

[Ray D. Ayshun]

View attachment 353246

"I can't help but notice you didn't spare a strip of skin on the neck..."

- Boomer RadOnc in chart rounds

That could explain why he's evaluating this plan so intensely. May have pics of histology from adrenal biopsy open out of frame.

 

[Gfunk6]

View attachment 353246

"I can't help but notice you didn't spare a strip of skin on the neck..."

- Boomer RadOnc in chart rounds

LOL, I also noted that you were particularly generous with the cribriform plate. What is that - 4 cm?

Are you playing Bohemian Rhapsody in the vault?

 

[Palex80]

"Brain tissue is known to stretch to the second vertebral body" - Boomer, also

"How am I supposed to match the first spine field otherwise for the upcoming CSI in this metastatic NSCLC patient?"

Is that underdosing hippocampal sparing?

 

[TheWallnerus]

Is that underdosing hippocampal sparing?

You know like surgeons who carve their initials in the patient? This guy carves a single burnt cigarette hole in his WBRT plans. Hate to tell you what he does on his cervix plans.

 

[medgator]

"How am I supposed to match the first spine field otherwise for the upcoming CSI in this metastatic NSCLC patient?"





View attachment 353264
Is that underdosing hippocampal sparing?

Stop giving evilcore ideas....

 

[evilbooyaa]

LOL, I also noted that you were particularly generous with the cribriform plate. What is that - 4 cm?

Are you playing Bohemian Rhapsody in the vault?

Ha, nice catch.

This pt gonna get oropharyngeal mucositis from his whole brain RT.

 

[elementaryschooleconomics]

Ha, nice catch.

This pt gonna get oropharyngeal mucositis from his whole brain RT.

Heck, I'm worried about his pneumonitis risk!

 

[Ray D. Ayshun]

What do you expect? This guy's done so much coke he's contouring with both hands.

 

[deleted1116990]

This guy's done so much coke he's contouring with both hands.

Not an uncommon problem in our field from stories I've heard.