Do you do a CT simulation for post op heterotopic ossification prophylaxis?   

Yes, we treat a fair amount of HO cases at our institution in NJ,  and in most cases, at least that I know of, we have always obtained CTs for planning. Honestly, because the anatomy is so straightforward in the hip area to be treated, just plain 2D imaging will suffice. In the old school way, ...

Who still keeps a conventional sim in their dept these days? Ct sim would be the quickest and easiest thing to do, creating a volume to match the traditional angled two field arrangement that's been used in the past. We usually consult several days before, perform the ct sim and have the plan ready...