<?xml version="1.0" encoding="utf-8"?>
<TreatmentInstruction>
  <SchemaVersion>2.0</SchemaVersion>
  <Identifier>293a0f54-861b-4482-a8bf-1898c795567c</Identifier>
  <DisplayName>*AOS_Head and Neck_QUADShot_R BID 44.4Gy 12fx v1</DisplayName>
  <AnatomicalRegion>Head and Neck</AnatomicalRegion>
  <AnatomicalSite>Salivary Gland</AnatomicalSite>
  <Laterality>Right</Laterality>
  <Notes>*AOS_Head and Neck_QUADShot_R BID 44.4Gy 12fx v1

AOS sample template - to be copied, reviewed, modified as deemed appropriate, and approved by site physicist

Summary: 12 fx right H&amp;N twice daily (BID) 3.7Gy/fx x2 days, repeated in 3 "waves" to 44.4 Gy

Reference: RTOG 85-02 with updates to some parameters to reflect modern IMRT/VMAT treatment techniques.

Version 1.0

Created: 7/29/2025  (PHH) 
Last updated:  8/26/2025 (BSM) 
*******************************************************************************************************

</Notes>
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              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>1</Priority>
        </Objective>
        <Objective>
          <StructureId>OAR13</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>1</Priority>
        </Objective>
        <Objective>
          <StructureId>OAR14</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
        </Objective>
        <Objective>
          <StructureId>OAR15</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>3</Priority>
        </Objective>
        <Objective>
          <StructureId>OAR17</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>OAR18</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion1</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>37</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion1</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.5</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion2</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>37</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion2</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.5</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>33</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion3</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>37</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>38</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion4</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>37</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>3</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion5</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Dose>
              <Value>28.1</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Dose>
              <Value>34.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion5</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>44.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion6</StructureId>
          <ClinicalGoal>
            <Type>VolumeDose</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>33</Value>
              <Unit>Relative</Unit>
            </Volume>
            <Dose>
              <Value>39.6</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion6</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Dose>
              <Value>37.2</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Dose>
              <Value>44.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion6</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>15</Value>
              <Unit>Relative</Unit>
            </Volume>
            <Dose>
              <Value>44.4</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>15</Value>
              <Unit>Relative</Unit>
            </Volume>
            <Dose>
              <Value>46.9</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion7</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Dose>
              <Value>33.6</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
        <Objective>
          <StructureId>ControlRegion8</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Dose>
              <Value>33.6</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
        </Objective>
      </PhaseOARObjectives>
      <Normalization>
        <Type>NoNormalization</Type>
      </Normalization>
      <MotionManagement IsEnabled="false" />
    </Phase>
  </Phases>
  <PrescribedSessions>
    <Session Id="1">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="2">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="3">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="4">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="5">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="6">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="7">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="8">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="9">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="10">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="11">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="12">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
  </PrescribedSessions>
</TreatmentInstruction>