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MOSAIQ User's Guide - UCSF Radiation Oncology

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<strong>MOSAIQ</strong> User’s <strong>Guide</strong><br />

Preparing the System and Patient for Image Registration<br />

CAUTION<br />

Make sure that your treatment machine gantry, collimator, SAD,<br />

and all couch sections are properly characterized. Your<br />

ELEKTA/Impac installer typically does this. The Image Registration<br />

process will not work properly if your machine is not properly<br />

characterized. Contact ELEKTA/Impac to assist you with proper<br />

machine characterization.<br />

Configuring Setup Offset Reference<br />

1. Click File | System Utilities | Department Setup…, then click the Clinical (RO) tab<br />

in the Department Setup dialog box.<br />

2. Click adjacent to the Setup Offset Reference field.<br />

Shows the two Setup Offset Reference options, as shown in Figure 35.<br />

Figure 35: Setup Offset Reference Options<br />

These options specify whether to move the isocenter or patient in the direction of setup<br />

correction. The settings are opposite each another. If you move the patient in the inferior<br />

direction, the isocenter moves in the superior direction.<br />

3. Click Isocenter to configure <strong>MOSAIQ</strong> for isocenter movement.<br />

The offset is 5cm in the superior direction for the isocenter setting. Error! Reference<br />

source not found. shows a 5 cm shift.<br />

4. Click Patient to configure <strong>MOSAIQ</strong> for the direction of the patient motion.<br />

The offset would be 5mm in the inferior direction for this setting.<br />

Entering Site Setup for the Prescription<br />

<strong>MOSAIQ</strong> uses the machine coordinates from the machine characterization and the patient<br />

orientation specified in the Site Setup Definition window to provide set-up corrections in<br />

patient coordinates. The ELEKTA/Impac installers or your system administrator<br />

characterizes the machines in <strong>MOSAIQ</strong>, but you must add the patient orientation setting in<br />

the Site Setup Definition window if it was not imported with your treatment plan. Image<br />

Registration also requires a site setup for all prescription sites.<br />

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

Interventions window.<br />

2. Click the <strong>Radiation</strong> Prescription in the Diagnoses and Interventions window, then click<br />

Site Setup.<br />

192 Copyright 2010, Elekta Impac Software<br />

LUGMSQ0002/4.0/23-Sep-2010

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