plaque simulator treatment plananterior tutorial, right eye, dob: oct 31, 1952, m, t=168.00 hrs,...
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Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:53, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:53, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:53, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:54, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:54, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:54, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:54, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:55, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:55, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:55, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
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S10
S11
S11
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S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:56, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:56, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D1.57m
Ci
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.
57m
Ci
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:56, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:56, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:57, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:57, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:57, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:58, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:58, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:58, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
S1
S1
S2
S2
S3
S3
S4
S4
S5
S5
S6
S6
S7
S7
S8
S8
S9
S9
S10
S10
S11
S11
S12
S12
S13
S13
S14
S14
S15
S15
S16
S16
S17
S17
S18
S18
S19
S19
S20
S20
S21
S21
S22
S22
S23
S23
S24
S24
S25
S25
EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 3
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlan by ______________ for ______________, approved by __________ (MD)Plan by ______________ for ______________, approved by __________ (MD)PSID: 194B71E7PSID: 194B71E7
PSID: 194B71E7Patient name:Patient name:Anterior TutorialAnterior TutorialEthnicity code: 0Ethnicity code: 0Ethnicity code: 0Medical record #:Medical record #: CPT Code(s):
CPT Code(s):77263 77263Gender: MGender: MGender: MOther:Other: DOB: Oct 31, 1952DOB: Oct 31, 1952
DOB: Oct 31, 1952Institution:Institution: Age at implant: 62Age at implant: 62Age at implant: 62Implant:Implant:Mon Jun 23, 2014 at 10:00 _________Mon Jun 23, 2014 at 10:00 _________Removal:
Removal:Mon Jun 30, 2014 at 10:00 _________Mon Jun 30, 2014 at 10:00 _________Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Range: ± 3.36 hr (2.0%)Duration (hours):Duration (hours):168.000 168.000Prescription:
Prescription:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmPlaque:
Plaque:1 (EP2025P) 1 (EP2025P)Nominal diameter:Nominal diameter:19.98 mm19.98 mmNumber of sources:Number of sources:25 of 2525 of 25Suture coordinates:Suture coordinates:A (9:18,3.9mm), B (5:43,3.9mm)A (9:18,3.9mm), B (5:43,3.9mm)Scleral offset:Scleral offset:-0.50 mm -0.50 mmWobble (x,y,z):Wobble (x,y,z):0.00,0.00,13.00°0.00,0.00,13.00°Total strength:Total strength:I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14I-125 (IAI-125A) 49.90U (39.29mCi) on 6/23/14Avg. strength:Avg. strength:1.996U (1.572mCi) on 6/23/141.996U (1.572mCi) on 6/23/14Tumor #:
Tumor #:1 1Apex (margin):Apex (margin):4.52 mm (2.00 mm)4.52 mm (2.00 mm)Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
Post.pole->center (ext.coord):
18.0 mm (7:28,6.6mm)
18.0 mm (7:28,6.6mm)Radial x Circumferential:Radial x Circumferential:11.03 x 13.05 mm11.03 x 13.05 mmLength x Width:Length x Width:13.08 x 11.07 mm13.08 x 11.07 mmArea (Volume):Area (Volume):135.6 sq.mm (0.36 mL)135.6 sq.mm (0.36 mL)% of retinal surface:% of retinal surface:9.6 % 9.6 %
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi 1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025P
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 3
Plaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanEP2025P CAX
EP2025P CAXAvg. Dose RateAvg. Dose RateTotal DoseTotal Dose (mm)(mm)(cGy/hr) (cGy/hr)(Gy) (Gy) 0.000.00205.8 205.8345.7 345.7 1.001.00126.1 126.1211.9 211.9 2.002.00123.7 123.7207.8 207.8 3.003.00111.6 111.6187.5 187.5 4.004.0099.42 99.42167.0 167.0 5.005.0084.21 84.21141.5 141.5 6.006.0069.72 69.72117.1 117.1 7.007.0058.00 58.0097.45 97.45 8.008.0048.52 48.5281.51 81.51 9.009.0040.69 40.6968.36 68.36 10.0010.0034.22 34.2257.48 57.48 Critical SiteCritical SiteAvg. Dose Rate Avg. Dose RateTotal DoseTotal DoseDistance From PlaqueDistance From Plaque(cGy/hr) (cGy/hr)(Gy) (Gy)(mm) (mm)Prescription pointPrescription point50.60 50.6085.00 85.008.021 Tumor 1 TAX Inner+ 7.00 mm8.021 Tumor 1 TAX Inner+ 7.00 mmScleraSclera157.4 157.4264.5 264.50.500(from plaque center)0.500(from plaque center)QA_PointQA_Point69.72 69.72117.1 117.16.000(from plaque center)6.000(from plaque center)QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
QA_Check (isotropic pt srce in water)
72.82
72.82122.3 122.3Point/Check = 0.96Point/Check = 0.96Optic discOptic disc8.422 8.42214.15 14.1520.31(center to center)20.31(center to center)Opposite retinaOpposite retina5.759 5.7599.676 9.67623.37(from plaque center)23.37(from plaque center)LensLens24.69 24.6941.47 41.4711.73(center to center)11.73(center to center)Eye originEye origin25.56 25.5642.94 42.9411.93(from plaque center)11.93(from plaque center)Macula (posterior pole)Macula (posterior pole)10.5810.5817.78 17.7818.62(center to center)18.62(center to center)Apex of tumor #1Apex of tumor #167.20 67.20112.9 112.96.432(from plaque center)6.432(from plaque center)Dose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotDose calc. mode: Line, F[Ø], B[r], Pexp, no T, SlotPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Treatment PlanPlaque Simulator Treatment PlanPlaque Simulator™ 600 2014-07-07 17:08:59, page 3 of 3
Plaque Simulator™ 600 2014-07-07 17:08:59, page 3 of 3Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan
121
2
3
4
56
7
8
9
10
11
13.04 mm
121
2
3
4
56
7
8
9
10
11
4.51 mm
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
1
1 2
2 3
3 4
4 5
5 6
6 7
7 8
8 9
9 10
1011
1112
12
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
9:18,3.9mm
5:43,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (9:18,3.9mm)A (9:18,3.9mm)B (5:43,3.9mm)B (5:43,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retinal DiagramPlaque Simulator Retinal DiagramPlaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRx plaque:
Rx plaque:1 (EP2025P) 1 (EP2025P)Dose matrix set:Dose matrix set:1 (retinal surface)1 (retinal surface)Prescribed (Rx) dose:Prescribed (Rx) dose:85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix max:Dose matrix max:239.26 Gy239.26 Gy
80
80707060
6050
5040
4030
3020
2010
100
0 170
170160
160150
150140
140130
130120
120110110100
10090908080707060
6050
5040
4030
3020
2010
10180
180170
170160
160150
150140
140130
130120
120110110100
10090 90
equator
ora
limbus
Lat. Rectus
Lat.
Rect
us
Med. Rectus
Med. Rectus
Sup. Rectus
Sup. Rectus
Inf. Rectus
Inf. Rectus
Sup. Oblique
Sup. Oblique
Inf. Oblique
Inf. Oblique
200
150
100
85.0
60.0
30.0
171°,3.9mm
98°,3.9mm
400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000Suture coordinates:
Suture coordinates:Plaque #1 (EP2025P)Plaque #1 (EP2025P)A (171°,3.9mm)A (171°,3.9mm)B (98°,3.9mm)B (98°,3.9mm)Distance between sutures (mm):
Distance between sutures (mm):Plaque #1 (EP2025P)Plaque #1 (EP2025P)A:B=15.3
A:B=15.3Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Loading DiagramPlaque Simulator Loading DiagramPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanRadionuclide source summary:
Radionuclide source summary:Plaque #:Plaque #:1 1Plaque name:Plaque name:EP2025P EP2025PRadionuclide:Radionuclide:I-125 (IAI-125A) I-125 (IAI-125A)Inventory name:Inventory name:Anterior Tutorial Anterior TutorialNumber of sources:Number of sources:25 25Assay date:Assay date:6/23/14 6/23/14Avg. (total) strength @ assay:Avg. (total) strength @ assay:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)Avg. (total) strength @ implant:Avg. (total) strength @ implant:1.57 mCi (39.29 mCi) 1.57 mCi (39.29 mCi)
A
B C
D
1.57mCi
1.57
mCi
1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi 1.57mCi
1.57mCi1.57mCi
1.57mCi
1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi
1.57
mCi
1.57mCi
1.57mCi
1.57mCi
EP2025P
EP2025PFACE (concave view)FACE (concave view)
A
BC
D
1.57
mCi
1.57
mCi
1.57
mCi
1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi1.57mCi
1.57mCi1.57mCi1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57mCi
1.57
mCi
1.57
mCi
1.57
mCi
EP2025P
EP2025PBACK (convex view)BACK (convex view)Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 1 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Meridian plane longitudesMeridian plane longitudes316.0° & 136.0°316.0° & 136.0°Dose matrix maximumDose matrix maximum10311.25 Gy10311.25 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
400
30.0
200
150
100
85.0
60.0
Rx
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Isodose PlotPlaque Simulator Isodose PlotPlaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2
Plaque Simulator™ 600 2014-07-07 17:08:59, page 2 of 2Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanMarkers
Markers1 mm 1 mmPrescribed (Rx) dosePrescribed (Rx) dose85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm85.00 Gy to Tumor 1 TAX Inner+ 7.00 mmDose matrix setDose matrix set1 1Equatorial plane offsetEquatorial plane offset3.7 mm3.7 mmDose matrix maximumDose matrix maximum1228.77 Gy1228.77 Gy400.0 Gy
400.0 Gy300.0300.0200.0200.0150.0150.0100.0100.090.0090.0085.0085.0080.0080.0070.0070.0060.0060.0050.0050.0040.0040.0030.0030.0020.0020.0010.0010.005.0005.000
0.0
0.010.0 10.0-10.0-10.00.0
0.0-10.0
-10.0-20.0
-20.010.0
10.020.0
20.0
200
150100
85.060.0
30.0
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator Retina Dose-Area HistogramPlaque Simulator Retina Dose-Area HistogramPlaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan000.00.0
0.010.0
10.020.0
20.030.0
30.040.0
40.050.0
50.060.0
60.070.0
70.080.0
80.090.0
90.0100.0
100.00.0
0.00.000.0050.0
50.00.120.12100.0
100.00.250.25150.0
150.00.380.38200.0
200.00.500.50250.0
250.00.620.62300.0
300.00.750.75350.0
350.00.880.88400.0
400.01.001.0045.0
45.085.085.0Tumor 1 baseTumor 1+marginNot marginMaculaOptic discTumor 1 baseTumor 1 baseTumor 1+marginTumor 1+marginNot marginNot marginMaculaMaculaOptic discOptic discRx = 85.00 Gy
Rx = 85.00 Gy to Tumor 1 TAX Inner+ 7.00 mm to Tumor 1 TAX Inner+ 7.00 mmMargin = 2.0 mm
Margin = 2.0 mmPlaque #1 EP2025PPlaque #1 EP2025P
Dose (Gy)
Rela
tive
Area
(%
)
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator QA Check (isotropic point source in water)
Plaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin AstrahanPlaque #1 EP2025P, implant 6/23/14 for T = 168.00 hours
Plaque #1 EP2025P, implant 6/23/14 for T = 168.00 hoursTavg (hours) = 1.443 x 24.0 x half-life(in days)Tavg (hours) = 1.443 x 24.0 x half-life(in days)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)r = distance from source center to QA point on plaque CAX at (6.0,0.0,0.0)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)Dose (Gy) = Strength {x ActivityToSk} x Tavg x DoseRateConstant x (1 - exp(-T/Tavg)) x (1/r^2) x g(r)S#S#ModelModelStrength
Strength
Strength
Activity
ActivityTavgTavgDose-Rate
Dose-Rate
Dose-Rate
X
XY YZ Zr rg(r) g(r)DoseDoseCheckCheck@implant
@implant
@implant
to Sk
to SkhourshoursConstant
Constant
Constant
mm
mmmm mmmm mmmm mm Gy Gyby by11IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5870.5870.5150.515-5.891-5.8918.0178.0171.0251.0255.0365.036________22IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5970.5970.0000.0005.9345.9348.0258.0251.0241.0245.0245.024________33IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.800-0.8000.0000.0000.0000.0006.8006.8001.0381.0387.0917.091________44IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.9911.991-3.535-3.5357.3457.3459.0849.0841.0121.0123.8743.874________55IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.0761.076-3.609-3.6095.7755.7758.4048.4041.0201.0204.5624.562________66IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.3980.398-3.811-3.8113.9873.9877.8627.8621.0261.0265.2455.245________77IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.060-0.060-3.869-3.8692.0402.0407.4747.4741.0311.0315.8295.829________88IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.226-0.226-3.866-3.8660.0670.0677.3297.3291.0321.0326.0726.072________99IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.135-3.746-3.746-1.795-1.7957.4097.4091.0311.0315.9365.936________1010IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.2120.212-3.624-3.624-3.574-3.5747.7077.7071.0281.0285.4675.467________1111IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.7900.790-3.341-3.341-5.347-5.3478.1808.1801.0231.0234.8294.829________1212IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.5391.539-3.004-3.004-6.908-6.9088.7558.7551.0161.0164.1884.188________1313IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4622.4624.6244.624-7.400-7.4009.4159.4151.0081.0083.5933.593________1414IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.3971.3974.6574.657-5.649-5.6498.6488.6481.0171.0174.2964.296________1515IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.4004.400-3.825-3.8257.9847.9841.0251.0255.0795.079________1616IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0180.0184.1954.195-1.868-1.8687.5427.5421.0301.0305.7205.720________1717IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.981-0.135-0.1354.1524.1520.1300.1307.4097.4091.0311.0315.9365.936________1818IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.0340.0344.1314.1312.1052.1057.5557.5551.0301.0305.6995.699________1919IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9810.5460.5464.2294.2294.0134.0137.9847.9841.0251.0255.0795.079________2020IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.2831.2834.0994.0995.8545.8548.5638.5631.0181.0184.3874.387________2121IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2372.2373.7753.7757.5717.5719.2599.2591.0101.0103.7233.723________2222IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.6721.672-7.109-7.1093.0183.0188.8538.8531.0151.0154.0904.090________2323IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9811.4481.448-7.008-7.008-2.372-2.3728.6878.6871.0171.0174.2564.256________2424IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.4322.4328.1408.140-3.043-3.0439.3949.3941.0091.0093.6103.610________2525IAAI IAAI1.572mCi
1.572mCi
1.572mCi
1.27U/mCi1.27U/mCi
1.27U/mCi
2057.142057.14
2057.14
0.981
0.9812.2522.2527.9667.9662.9002.9009.2699.2691.0101.0103.7133.713________QA_Point
QA_Point
QA_Point
Dose =
Dose =117.12117.12 QA_Check
QA_Check
QA_Check
Dose =
Dose =122.33122.33________Point /Point /Check =
Check =
Check =
0.96
0.96
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EP2025P
EP2025PPt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLAN
Pt:Anterior Tutorial, Right eye, DOB: Oct 31, 1952, M, T=168.00 hrs, PREPLANPlaque Simulator SetupPlaque Simulator SetupPlaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1
Plaque Simulator™ 600 2014-07-07 17:09:00, page 1 of 1Institution: ___________, EULA: astrahan.2014, User: Melvin AstrahanInstitution: ___________, EULA: astrahan.2014, User: Melvin Astrahan