MOSAIQ User's Guide - UCSF Radiation Oncology

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MOSAIQ User’s Guide 5. Follow steps 16-20 under Manual Registration to move the verification image. 6. Click OK when you have the offset you want on the Isocenter Shifts tab. Grayscale Registration 1. Click the Grayscale Registration check box in the Image Registration window. 2. Click and drag your mouse diagonally across the registration area on the verification image. This draws a box to specify the area that MOSAIQ uses to match the corresponding area on the reference image. 3. Click Calculate Shifts to open the Isocenter Shifts window. Refer to Figure 49. Figure 49: Isocenter Shifts Window - Grayscale Registration MOSAIQ automatically matches the anatomy on the reference and verification images. 4. Click Start Search on the Isocenter Shifts tab to run the matching algorithm. Grayscale Registration seeks an optimal solution. Click the Stop Search button to stop the calculation. You can see the shift that MOSAIQ calculated on the Isocenter Shifts tab. Refer to Figure 50. 204 Copyright 2010, Elekta Impac Software LUGMSQ0002/4.0/23-Sep-2010
CHAPTER 7: Image Management-ViewStation & Photos and Diagrams Figure 50: Isocenter Shifts Tab – Grayscale Registration 5. Follow steps 16-20 under Manual Registration to correct the registration. 6. Click OK when you have the offset you want on the Isocenter Shifts tab. Setup Intelligence Site Setup After you record an offset, you can click Register in the Image Review window to see the merged images with that offset applied. The offset values are part of the image record. When you approve or reject the verification image, image review is complete. This locks the offset values. Setup Intelligence is the patient positioning verification system in MOSAIQ Image Management. With Setup Intelligence, you can examine reproducible patient positioning and treatment localization. Setup Intelligence helps you accurately reproduce treatment positioning with sophisticated online and offline quantitative analysis tools. You can examine positional shift information calculated by the Setup Intelligence image registration and fusion functions or a third-party positioning product. Setup Intelligence includes these decisions with the treatment workflow and in the patient’s treatment record. CAUTION You must have Clinical | Site Setup Defs | Modify security rights to change an unapproved Site Setup. You must have Clinical | Site Setup Defs | Approve security rights to change an approved Site Setup. Setup Intelligence helps you set up the patient with Setup Alerts. These tell you to move the patient from the positioning marks before treatment or setup verification imaging. You specify Setup Alerts in the Site Setup Definition window as you specify the Patient Orientation. Setup Intelligence registration activates the Setup Offsets group in the Site Setup Definition window. You specify adjustments to the planned treatment isocenter position relative to simulation landmarks, like tattoos, in the Setup Offsets group as a Prescribed Relative Offset. The Localization Offset (LO) is the setup adjustment that Setup Intelligence calculates to correct for systematic setup variation. This is described in Localization Trend Review. Copyright 2010, Elekta Impac Software 205 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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Adding Field Setup Information CHAP
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Approving a Treatment Field CHAPTER
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Reviewing IMRT CHAPTER 5: MOSAIQ Ra
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Setting Up Dose Tracking CHAPTER 5:
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Adding Secondary Dose Tracking Site
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Adding Prior Dose CHAPTER 5: MOSAIQ
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8. Click OK. CHAPTER 5: MOSAIQ Radi
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9. Click OK. CHAPTER 5: MOSAIQ Radi
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Changing Treatment Session Due Date
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Scheduling a QA Mode Treatment Sess
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3. Click Current in the Patient(s)
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Reviewing eCHART Chart Check Notes
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CHAPTER 6: MLC Fit MOSAIQ User’s
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Creating an MLC Leaf Plan 1. Click
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MLC Conversion CHAPTER 6: MLC Fit M
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CHAPTER 6: MLC Fit The display may
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CHAPTER 6: MLC Fit 8. In the Treatm
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MOSAIQ User’s Guide CHAPTER 7: Im
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CHAPTER 7: Image Management-ViewSta
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Page 167 and 168: CHAPTER 7: Image Management-ViewSta
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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
Page 189 and 190: Using the Fill and Color Options CH
Page 217: Curve Registration CHAPTER 7: Image
Page 221 and 222: Setup Alerts CHAPTER 7: Image Manag
Page 227 and 228: Localization Trend Review CHAPTER 7
Page 231 and 232: Completing the Setup Offset CHAPTER
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Page 255 and 256: Manage Data CHAPTER 9: MOSAIQ Oncol
Page 257 and 258: Doing a Check for Eligible Patients
Page 259 and 260: Selecting Patients CHAPTER 9: MOSAI
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Page 263 and 264: Selecting Images b. Click the Refre
Page 265 and 266: Managing the Restore Queue CHAPTER
Page 267 and 268: 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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