Priya Raman

Needs a human

61 F · MRN TCPT-0048109 · Recurrent SCC left base of tongue, p16−, rT2 N0 M0 (prior CRT 2021)

Aetna Open Access PPO (Commercial) · W284019376

Ordered by R. Lee, MD · Sep 21, 2026 · CPT 77525 · C01 Malignant neoplasm of base of tongue

Physics note · Treatment Planning

Medical physics plan review — re-irradiation IMPT

Sep 18, 2026 · D. Okafor, PhD · 1 page

G2 › Raman, Priya › Treatment Planning › Physics › 2026-09-18 Physics note

In packet · tab 5

MEDICAL PHYSICS PLAN REVIEW — RE-IRRADIATION IMPT Prescription: 60 Gy(RBE) in 30 fractions to CTV-recurrence (GTV + 5 mm, anatomically constrained).^C-5 Robustness: 3 mm setup / 3.5% range uncertainty; all scenarios acceptable. Weekly verification CT planned. Current-course OAR doses: spinal cord Dmax 8.9 Gy(RBE); brainstem Dmax 6.2 Gy(RBE). Composite dose: prior plan DICOM requested from Gulf Coast Cancer Center on 09/15; composite (summed) dose not yet computed^C-12.