Transcript Set up
IGRTat UCSF EPI & CBCT by Michèle Aubin MSEE IGRT Steps Prescribe Plan Set up Review Physicians Dosimetrists Therapists Physicians • Create and approve a prescription • Prepare the reference data in Site Setup for EPI and CBCT • Initialize and schedule imaging • Review each images and shifts in Mosaiq before next treatment • Send the Plan, DRRs, CT and ISO to Mosaiq • Associate the CBCT • Place an order for daily or weekly imaging (EPI and/or CBCT) • Print out the • Associate a protocol to MVCB • Align the patient • Archive & clean the database Place an Order in Mosaiq Prescribe Remind the dosimetrist Work done in Pinnacle and Mosaiq • Type of Imaging (2D or 3D) • If 3D, inform of which contours to send for alignment • Print out the CT and ISO Plan Assist the therapist Syngo 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 Patient Syngo Station • 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 Set up Align the Patient Syngo Station Every moves (Lat, Long, Vert) are typed in Mosaiq by RTT Set up Align the Patient Set up RTT Syngo Station • Prostate • H&N • Lung 4 MU to 6 MU 3 or 4 MU 4 to 6 MU Verify the Images and Shifts Review 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 • Thank You!