igrtat ucsf epi & cbct by michèle aubin msee. prescribeplanset upreview igrt steps physicians...
Post on 21-Dec-2015
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IGRTat UCSF EPI & CBCT
by Michèle Aubin MSEE
Prescribe Plan Set up Review
IGRT Steps
PhysiciansPhysicians
• Create and approve a prescription
• Place an order for daily or weekly imaging (EPI and/or CBCT)
DosimetristsDosimetrists
• Prepare the reference data in Site Setup for EPI and CBCT
• Send the Plan, DRRs, CT and ISO to Mosaiq
• Print out the CT with ISO
TherapistsTherapists
• Initialize and schedule imaging
• Associate a proto- col to MVCB
• Align the patient
• Associate the CBCT
• Archive & clean the database
PhysiciansPhysicians
• Review each images and shifts in Mosaiq before next treatment
PrescribePlace an Order in Mosaiq
Remind the dosimetristWork done in Pinnacle and Mosaiq
• Type of Imaging (2D or 3D)
• If 3D, inform of which contours to send for
alignment
Plan
• Print out the CT and ISO
Assist the therapistSyngo Station
• Verify that Isocenter on the patient’s CT match the
printout
• Guide the patient’s alignment on dry run
Set up
Acquire and Align RTT Syngo Station
Set up
Prostate Patient
H&N Patient
Align the PatientSyngo Station
Set up
• Prostate + Markers: always performed by RTT
• Head&Neck: < 2 mm no move 2 mm ≤ shift ≤ 5 mm Move by RTT
shift > 5 mm : call attending
Align the PatientSyngo Station
Set up
Every moves (Lat, Long, Vert)
are typed in Mosaiq by RTT
Align the PatientRTT Syngo Station
Set up
• Prostate 4 MU to 6 MU• H&N 3 or 4 MU• Lung 4 to 6 MU
Verify the Images and Shifts Mosaiq
• Can verify and approve images in any Mosaiq station.
• In order to charge and be legal, all IGRT have to be approved before next treatment
•
Review
Thank You!