MOSAIQ User's Guide - UCSF Radiation Oncology

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MOSAIQ User’s Guide Typically, you analyze the Session Offset trends from the same setup position. When you complete the setup correction, you now have a new setup position. You would usually not want to include Session Offsets from an older starting position in trend analysis with offsets calculated from new landmarks. If you change the site setup after you recorded a positioning verification from new landmarks, you could click the No button and manually select which session offsets to exclude. CBCT Acquisition Importing Reference Structure Sets and CT Data You must import the patient's reference CT, Structure Set, DRRs, and the RT Plan via DCM (this is done automatically if the CT and Structure Set are sent from your TPS to the configured ELEKTA/Impac DCM workstation on your network). All CTs, MRs, and Structure Sets are sent to DCM and saved directly to the DB. They do not go through Namer. The RT Plan goes through DCM and is available for RTP Import. A raw copy is stored in the \\MOSAIQ_app\nonimage folder. DRRs go through DCM and then to NAMER for import. You can also import acquired CBCT images into MOSAIQ using a mapped network drive. All Treatment Calendar Sessions, for which you want to perform CT based matching, must include the CT field, along with the desired treatment fields. All these fields must have the exact same couch parameters. Acquiring the CBCT Data 1. Import the RTP plan. Double-click the Site Setup that is available for import. The isocenter values of the plan and the structure set UID show (there will not be any data for Frame Of Reference UID). If there are no Isocenter values, you must manually type them to acquire a CBCT. 2. Open the Diagnoses and Interventions window and open the Site Setup. Make sure that the Patient Orientation, structure sets, and isocenter are specified, and then approve the Site Setup. 3. Open the image list to view the reference CT. When highlighted, it lists the number of images (slices) in the lower left. It does not show a thumbnail view. You can delete the reference CT. The reference CT always has Review Required selected. 4. Click Open or Review to open the reference CT. This opens the 3D Image Review window. Your hardware, specifically the video card, must meet the requirements specified in the MOSAIQ System Requirements under Workstation Requirements; Image Review. An isocenter error appears if the CT is not associated with the site. The Structure Set list is not available if the site setup for the Rx is not specified and approved. 5. Click in the 3D Image Review window to open the Image Information dialog box. 6. Change the review status if desired. 218 Copyright 2010, Elekta Impac Software LUGMSQ0002/4.0/23-Sep-2010
CHAPTER 7: Image Management-ViewStation & Photos and Diagrams 7. Associate the CT with a site, then click OK. 8. Click OK to close the 3D Image Review window. 9. Open the CT and the Structure Set list again, which will now be available in the 3D viewer. Select the Structure Sets that you want to show. Changes are not saved when you close the 3D Image Review window. The SEQUENCER-specific instructions are in Chapter 9. Please refer to CBCT Instructions on page 267. Copyright 2010, Elekta Impac Software 219 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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Request Review Status CHAPTER 7: Im
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Page 181 and 182: Print Scaling CHAPTER 7: Image Mana
Page 183 and 184: Viewing and Enhancing Images CHAPTE
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Page 187 and 188: Using Ellipse Tools CHAPTER 7: Imag
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Page 217 and 218: Curve Registration CHAPTER 7: Image
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Page 227 and 228: Localization Trend Review CHAPTER 7
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Page 251 and 252: DICOM Configuration Admin Rights CA
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Page 255 and 256: Manage Data CHAPTER 9: MOSAIQ Oncol
Page 257 and 258: Doing a Check for Eligible Patients
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Page 267 and 268: CHAPTER 10: SEQUENCER MOSAIQ User
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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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