MOSAIQ User's Guide - UCSF Radiation Oncology

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MOSAIQ User’s Guide Digitizing a Treatment Field Shape While the verify and record system supports machines equipped with MLCs by automatically setting up leaf positions according to a pre-defined plan and recording their positions during treatment, MLC Fit streamlines the process by enabling you to generate the actual multileaf collimator data as well. Using MLC Fit, you can digitize treatment field shapes and generate MLC leaf plans using these digitized shapes. MLC Fit uses leaf, jaw, collimator, and gantry position information to specify geometry. For additional information on digitizing a treatment field, Chapter 6, Image Management — ViewStation & Photos and Diagrams, on page 139. Graphical Elements and Controls The following display conventions are followed: Green the leaves Yellow the treatment field shape Turquoise the jaws Blue the leaf currently active for editing Dark Blue Leading Edge the jaw currently active for editing Red the isocenter crosshairs Window and Level Control Use to adjust the darkest and lightest values in the displayed image to obtain the desired contrast and/or detail. Click anywhere in the control and drag to the left or right to make adjustments. Image Underlay CAUTION You must have at least Clinical | Field Defs | View and Image | ViewStation | Images | View Security rights for the image to appear. You can enable Image Underlay by checking the Enable Image Underlay check box in Department Setup. When enabled and the criteria described below are met, the current reference image for the patient appears beneath the shaped field or, for historical views, the reference image that was viewable at the time of treatment. The Display Image option must be enabled from either the Treatment Field Definition dialog box, or the Beam’s Eye View dialog box. If you disable this option from either dialog box, the image is hidden. You must also click the Use for Tx Definition check box in the Image dialog box. This check box is only available after the simulator image or DRR has been reticle scaled. 134 Copyright 2010, Elekta Impac Software LUGMSQ0002/4.0/23-Sep-2010
CHAPTER 6: MLC Fit The display may be affected by the current image state: If you change the gantry angle, couch angle, or couch top using edit controls, capture settings, or import, the Reference Image becomes unavailable. Geometry display in Image: Check to show the treatment geometry on the image, and uncheck to hide the treatment geometry layer. This check box is only available when the following ten conditions occur: The image is for the currently selected patient. The image is a Simulator or DRR image. The image is not an image series. The image is enabled for Tx Definition. The image is a reference image and is reticle-scaled and has square pixels. The image is associated with the currently selected field, and the treatment machine assigned to the field is characterized. The treatment geometry comes from the associated treatment field definition. The Shadow filter is not applied. The image does not have an incomplete Re-Image change request. The image is not voided. The image is not archived. MOSAIQ alerts you when the image is archived. MOSAIQ alerts you when you manually display reference image for the first time because it did not automatically appear. MOSAIQ alerts you when another user edits the image between the time you opened the Beam’s Eye View dialog box and attempt to save, aborting the save and keeping the Beam’s Eye View dialog box open. You can only close the dialog box by canceling. You can change the Vertical, Lateral, and Longitudinal couch parameters, and the reference image remains available. Beam’s Eye View Calibration Point Digitization The Beam’s Eye View Calibration Point Digitization dialog box prompts you to digitize a point and gives the coordinates of the point digitized. After digitizing each point, a “beep” sounds and you are prompted to enter the next point. Upon digitizing the second point the transformation parameters are computed. After digitizing the third and fourth points, the scaled digitized values are compared with the specified values. If the scaled value is not within the specified tolerance of the desired value, the calibration process terminates. Beam’s Eye View Shape Rotation This dialog box enables you to enter a new angle to rotate the treatment shape. If the orientation of the reticle angle was incorrect when you digitized the treatment shape, you can simply rotate the shape using this dialog box instead of digitizing a new shape. Copyright 2010, Elekta Impac Software 135 LUGMSQ0002/4.0/23-Sep-2010
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MOSAIQ User’s Guide MOSAIQ Versio
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PUBLISHED BY: Elekta Impac Software
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MOSAIQ User’s Guide Entering Asse
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MOSAIQ User’s Guide Working with
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MOSAIQ User’s Guide Managing the
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MOSAIQ User’s Guide Site Setup Ve
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Introduction MOSAIQ User’s Guide
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Disclaimer Training Introduction El
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Notes, Hints, and Warnings Note exa
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Abbreviations and Acronyms BEV Beam
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CHAPTER 1: International Formats In
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Configuring Department Setup CHAPTE
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WARNING CHAPTER 1: International Fo
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CHAPTER 2: MOSAIQ Online Help MOSAI
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MOSAIQ User’s Guide CHAPTER 3: Ge
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CHAPTER 3: General Clinical Chartin
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Entering and Completing Course Info
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3 In the New Status group, click Ap
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Using the Diagnosis and Staging Tab
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Adding Oncology Details CHAPTER 3:
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Adding Assessments CHAPTER 3: Gener
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The Pharmacy Ordering List CHAPTER
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In House Pickup External Pickup CHA
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Adding a New Entry to Favorites Adm
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Adding a Favorite While Creating a
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Viewing the Medications Formulary W
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Adding Drugs to a Formulary List CH
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MOSAIQ User’s Guide CHAPTER 4: MO
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Viewing Pharmacy Tabs CHAPTER 4: MO
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CHAPTER 4: MOSAIQ Medical Oncology
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Voiding an Order CHAPTER 4: MOSAIQ
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CHAPTER 4: MOSAIQ Medical Oncology
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Waving Orders from Quick Orders CHA
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Adjusting a Medication Dose CHAPTER
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Configuring the Pharmacy Label and
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Printing the Pharmacy Worksheet CHA
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Documenting IV Details CHAPTER 4: M
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Documenting VAD Details CHAPTER 4:
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Correcting Medication Documentation
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MOSAIQ User’s Guide CHAPTER 5: MO
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CHAPTER 5: MOSAIQ Radiation Oncolog
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Page 97 and 98: CHAPTER 5: MOSAIQ Radiation Oncolog
Page 109 and 110: Adding Field Setup Information CHAP
Page 113 and 114: Approving a Treatment Field CHAPTER
Page 115 and 116: Reviewing IMRT CHAPTER 5: MOSAIQ Ra
Page 119 and 120: Setting Up Dose Tracking CHAPTER 5:
Page 121 and 122: Adding Secondary Dose Tracking Site
Page 123 and 124: Adding Prior Dose CHAPTER 5: MOSAIQ
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Page 137 and 138: Scheduling a QA Mode Treatment Sess
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Page 141 and 142: Reviewing eCHART Chart Check Notes
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Page 145 and 146: Creating an MLC Leaf Plan 1. Click
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Page 181 and 182: Print Scaling CHAPTER 7: Image Mana
Page 183 and 184: Viewing and Enhancing Images CHAPTE
Page 187 and 188: Using Ellipse Tools CHAPTER 7: Imag
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CHAPTER 7: Image Management-ViewSta
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Curve Registration CHAPTER 7: Image
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Setup Alerts CHAPTER 7: Image Manag
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Localization Trend Review CHAPTER 7
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Completing the Setup Offset CHAPTER
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CHAPTER 8: MOSAIQ DICOM MOSAIQ User
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DCM System Preferences CHAPTER 8: M
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Setting Up Auto-forwarding for a DI
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CHAPTER 8: MOSAIQ DICOM Do this…
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In the… To… CHAPTER 8: MOSAIQ D
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DICOM AE Edit CHAPTER 8: MOSAIQ DIC
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For DICOM Images Group These contro
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CHAPTER 9: MOSAIQ Oncology PACS MOS
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DICOM Configuration Admin Rights CA
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CHAPTER 9: MOSAIQ Oncology PACS The
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Manage Data CHAPTER 9: MOSAIQ Oncol
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Doing a Check for Eligible Patients
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Selecting Patients CHAPTER 9: MOSAI
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CHAPTER 9: MOSAIQ Oncology PACS 3.
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Selecting Images b. Click the Refre
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Managing the Restore Queue CHAPTER
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CHAPTER 10: SEQUENCER MOSAIQ User
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QA Mode Field Change Warnings (chec
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10. Click Close in the Treatment De
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CHAPTER 10: SEQUENCER 7. Click Reco
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Select a Patient for Treatment CHAP
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Treatment Chart CHAPTER 10: SEQUENC
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Unhiding a Treatment Field CHAPTER
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CHAPTER 10: SEQUENCER 3. In the Tre
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CHAPTER 10: SEQUENCER 6. Click the
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Consolidated Field Sequences (CFS)
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Using the Override Feature CHAPTER
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CHAPTER 10: SEQUENCER The prescript
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Troubleshooting Abnormal Treatment
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Appendix A: Contact and Regulatory
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MOSAIQ User’s Guide Appendix B: W
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Appendix B: Warnings and Cautions i
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When Rounding Error 2 is exceeded:
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MOSAIQ User’s Guide Appendix C: I
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MLC Fit Intended Use Appendix C: In
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Appendix D: Measurement of Accuracy
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Index A Abbreviations/Acronyms, 7 A
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DICOM AE Edit, 231 DICOM Communicat
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using, 130 MLC leaf plan report, 13
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selecting patients for treatment, 2
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Index Copyright 2010, Elekta Impac
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MOSAIQ User's Guide - UCSF Radiation Oncology

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