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MOSAIQ User's Guide - UCSF Radiation Oncology

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

Enabling the Image Underlay Option<br />

In the Image window, you can also configure the image to appear in the Treatment Field<br />

Definition dialog box. This enables you to view the reference image behind MLC parameters<br />

and/or leaf and jaw setup in Beam’s Eye View. You must associate the image with the correct<br />

treatment field and reticle scale the image to use this image underlay option.<br />

CAUTION<br />

To use the Image Underlay feature, you must have Image |<br />

ViewStation | Images | View security rights. To open the Diagnoses<br />

and Interventions window, you must have Clinical | General | View<br />

security rights.<br />

1. Click eCHART | Images to open the Image List window.<br />

2. Click a reference image that has been associated with a treatment field, then click Open<br />

to open the image in the Image window.<br />

3. Click the Use for Tx Definition check box in the Image group.<br />

4. Click OK to save the new setting, then close the Image window.<br />

5. Click Close to close the Image List window.<br />

6. Click eChart | Diagnoses and Interventions… to open the Diagnoses and<br />

Interventions window.<br />

7. In the Diagnoses and Interventions window, double-click the treatment field associated<br />

with your image. Notice the image in the viewer.<br />

8. In the Treatment Field Definition dialog box, click Enlarge/Edit Beam’s Eye View.<br />

The Beam’s Eye View dialog box provides an expanded graphical display of the jaws,<br />

isocenter, and outer field boundary for the treatment field as viewed from the perspective<br />

of looking down through the collimator. In this dialog box, you can change these<br />

treatment field parameters, digitize a treatment field shape, and/or manipulate an MLC<br />

plan for the treatment field with image underlay.<br />

9. Click Cancel to close the Beam’s Eye View dialog box.<br />

10. Click OK in the Treatment Field Definition dialog box.<br />

Committed changes to the beam or beam parameters will invalidate<br />

the Use for Tx Definition status. Applicable beam parameters<br />

include the gantry angle, source angle for kV setup fields, couch<br />

angle, and couch top. Temporary, unsaved Field Definition changes<br />

do not change the validity of the Use for Tx Definition status.<br />

Copyright 2010, Elekta Impac Software 159<br />

LUGMSQ0002/4.0/23-Sep-2010

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