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MOSAIQ User's Guide - UCSF Radiation Oncology

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

2. Click the Offset was applied during treatment check box in the Offset group. This<br />

indicates that you applied the shift before treating the patient.<br />

3. Click the check box adjacent to the direction of the shift you want to apply, then click<br />

the direction.<br />

4. Type the shifts in the Known Components group. If you type a negative value the shift<br />

direction will change. If you want to record known zero values, click the check box to<br />

distinguish the zero value from an unknown, or blank value.<br />

5. Type the date and time, then click the source in the Offset group.<br />

If you specify a source, that source appears in the Description column of the Localization<br />

Trend Review dialog box. This is useful if your department uses more then one type of<br />

patient positioning device. If your third party source is not on the list, you or an<br />

ELEKTA/Impac administrator can select the menu item to add the source.<br />

6. If you have a six degree couch, type the coronal, sagittal, and transverse angle<br />

information in the Known Components group.<br />

On a Varian 4DITC, right-click in the Treatment Session In Progress<br />

window after you send the plan to open the Third Party Offset<br />

dialog box.<br />

The shifts you specified in the Image Review window or Third Party Offset dialog box are<br />

now part of the patient’s treatment record. You can use them immediately to calculate new<br />

couch targets and later to find systematic setup variation, or Localization Offsets.<br />

Distributed Registration Review<br />

When you review images, you can assign a recorded third party offset to the images.<br />

<strong>MOSAIQ</strong> then shows the images registered with the chosen offset. The Third Party Offset<br />

Selection dialog box opens after you select the images to be registered. Refer to Figure 58.<br />

Figure 58: Third Party Offset Selection<br />

Copyright 2010, Elekta Impac Software 211<br />

LUGMSQ0002/4.0/23-Sep-2010

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