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Delineation of the neck node levels for
head and neck tumors: a 2013 update.
DAHANCA, EORTC, HKNPCSG, NCIC
CTG, NCRI, RTOG, TROG consensus
guidelines.
Vincent Grégoirea, Kian Angb✝, Wilfried Budachc, Cai Graud, Marc Hamoire,
Johannes A. Langendijkf, Anne Leeg, Quynh-Thu Leh, Philippe Maingoni,
Chris Nuttingj, Brian O’Sullivank, Sandro V. Porceddul, Benoit Lengelem
a Cancer Center and Department of Radiation Oncology, Clinical and Experimental Research Institute,
Université catholique de Louvain, Cliniques Universitaires St-Luc, Brussels, Belgium.
b Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston TX,
USA.
c Department of Radiation Oncology, University Hospital Düsseldorf, Düsseldorf, Germany.
d Department of Oncology, Aarhus University Hospital, Denmark.
e Cancer Center and Department of Otorhinolaryngology, Head and neck surgery, Institut de Recherche
Experimentale et Clinique, Université catholique de Louvain, Cliniques Universitaires St-Luc, Brussels,
Belgium
f Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, The
Netherlands.
g Department of Clinical Oncology, the University of Hong Kong (Shenzhen) Hospital, China.
h Department of Radiation Oncology, Stanford University School of Medicine, Stanford Cancer Center,
Stanford, CA USA; Head and Neck Cancer Committee Chair, Radiation Therapy Oncology Group
(RTOG).
I Department of Radiation Oncology, Centre Georges-François Leclerc, Dijon, France.
j Department of Radiation Oncology, Royal Marsden Hospital and Institute of Cancer Research, London,
UK.
k Department of Radiation Oncology, Princess Margaret Hospital, University of Toronto, Canada.
l Cancer Services, Princess Alexandra Hospital, Brisbane, QLD, Australia.
m Cancer Center and Departments of Human Anatomy and Plastic & Reconstructive Surgery, Institut de
Recherche Experimentale et Clinique, Université catholique de Louvain, Cliniques Universitaires St-Luc,
Brussels, Belgium.
Disclaimer
The material presented in this file illustrates the
consensus reached among cooperatives groups
with respect to the delineation of the lymph node
levels in the neck.
Authors are not responsible for any misuse of
these guidelines by any third parties.
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:25:38
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -18.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:26:35
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -18.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:27:04
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -18.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:27:32
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -18.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:28:01
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -17.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:28:41
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -17.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:29:16
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -17.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:29:59
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -17.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:30:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -17.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:31:08
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -16.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:31:39
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -16.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:32:12
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -16.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:32:43
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -16.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:33:13
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -16.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:33:50
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -15.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:34:22
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -15.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:34:55
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -15.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:35:29
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -15.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:36:00
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -15.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:36:29
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -14.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:36:59
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -14.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:37:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -14.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:38:06
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -14.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:38:35
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -14.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:43:24
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -13.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:43:56
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -13.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:44:25
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -13.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:45:01
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -13.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:45:36
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -13.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:46:07
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -12.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:46:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -12.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:47:10
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -12.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:47:45
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -12.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:48:13
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -12.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:50:06
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -11.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:50:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -11.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:51:08
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -11.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:52:39
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -11.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:53:18
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -11.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:53:52
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -10.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:54:39
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -10.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:55:12
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -10.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:55:42
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -10.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:56:14
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -10.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:57:50
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -9.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:58:46
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -9.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 09:59:19
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -9.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:00:07
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -9.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:01:32
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -9.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:03:55
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -8.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:04:38
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -8.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:05:10
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -8.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:05:40
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -8.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:06:12
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -8.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:06:47
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -7.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:07:17
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -7.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:07:45
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -7.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:08:26
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -7.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:09:09
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -7.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:13:27
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -6.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:14:04
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -6.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:14:32
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -6.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:15:03
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -6.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:15:31
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -6.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:15:56
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -5.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:16:29
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -5.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:16:57
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -5.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:17:29
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -5.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:18:08
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -5.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:18:33
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -4.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:19:06
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -4.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:19:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -4.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:20:10
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -4.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:20:41
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -4.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:21:12
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -3.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:21:51
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -3.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:22:27
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -3.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:22:57
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -3.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:23:31
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -3.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:24:03
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -2.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:24:41
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -2.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:25:10
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -2.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:25:46
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -2.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:26:21
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -2.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:26:50
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -1.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:27:22
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -1.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:27:52
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -1.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:28:26
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -1.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:28:57
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -1.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:35:15
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -0.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:35:53
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -0.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:36:27
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -0.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:36:55
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: -0.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:37:28
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 0.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:37:59
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 0.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:38:34
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 0.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:39:08
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 0.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:39:42
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 0.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:40:12
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 1.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:40:42
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 1.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:41:08
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 1.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:41:37
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 1.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:42:22
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 1.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:42:55
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 2.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:43:23
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 2.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:43:56
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 2.40
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:44:29
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 2.60
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:45:10
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 2.80
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:45:48
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 3.00
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
Slice View
Hospital/Clinic: Cliniques universitaires Saint-Luc DocNumber: FocalSim 4.64.00
Patient Name: CTVneck2013VG Save Plan Date/Time:
Patient ID: NECK2012 Print Date/Time: Oct 16, 2013 10:46:19
Plan Name: Workstation ID: CMSDA1 10.96.210.206
Comment:
Slice Location(cm): Transverse: 3.20
Approved by: Name:______________________________ Signature:______________________________ Date:______________________
Page 1 of 1
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