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MOSAIQ User's Guide - UCSF Radiation Oncology

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CHAPTER 7: Image Management-ViewStation & Photos and Diagrams<br />

6. If you are associating the image with a treatment field, click the Field radio button, then<br />

click OK.<br />

7. In the Treatment Field Definitions window, click the field you wish to associate with the<br />

image, then click Select.<br />

8. Click OK to close the Image Viewer window to save your changes and close the window.<br />

Reticle Scaling Reference Images<br />

Reticle scaling reference images is the process that defines the magnification (scaling) factors,<br />

beam center, and rotation of a reference image (DRR or Simulation), so that <strong>MOSAIQ</strong> can<br />

accurately show the treatment geometry on the image. You cannot display images in the<br />

Treatment Field Definition dialog box until the image has been reticle scaled. Before reticle<br />

scaling, you must associate the image with a prescription site or treatment field.<br />

CAUTION<br />

Images exported from electronic sources using DICOM RT Image can<br />

include scaling data that can be used in <strong>MOSAIQ</strong>. Therefore, you do not<br />

have to reticle scale these images.<br />

To manually reticle scale an image you must have a visible reference<br />

such as a “burned-in” graticule that represents the central axis and<br />

relative scale of the image.<br />

The reference image must have square pixels, must NOT have a<br />

Shadow filter applied, must not have already been used in a<br />

treatment field that has been treated, and must not have an<br />

associated offset.<br />

You must also associate the image with a treatment field,<br />

prescription site, or patient before reticle scaling.<br />

Reticle Scaling a Reference Image<br />

1. Click a reference image that has already been associated a treatment field, then click<br />

Open. There must be a red outline in the viewer of the Image window.<br />

2. Right-click or press F4, then click Reticle Scale Image.<br />

A red reticle tool appears in the center of the image in the Image window.<br />

The major ticks on the reticle tool equal 5 cm, and the magenta<br />

arrow always points toward the gantry stand with respect to the<br />

image.<br />

3. Click until the image is large enough to align the red reticle tool easily with the<br />

reticle on the image. If you zoom in too much, click to decrease the size of the<br />

image.<br />

Copyright 2010, Elekta Impac Software 153<br />

LUGMSQ0002/4.0/23-Sep-2010

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