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MOSAIQ User's Guide - UCSF Radiation Oncology

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10. Click Close in the Treatment Delivery Table window.<br />

11. Click OK in the Code Capture dialog box.<br />

Basic Interactive Interface Workflow<br />

CHAPTER 10: SEQUENCER<br />

SEQUENCER constantly communicates with the linac over an Ethernet or a serial<br />

connection. Actual geometric values from the linac show in the Verified Treatment window.<br />

The steps below begin at the point when you mode up the linac. The preceding steps are the<br />

same as the Basic SEQUENCER Workflow above.<br />

1. Mode up the linac.<br />

SEQUENCER compares the prescribed parameter values against the machine parameter<br />

values. SEQUENCER prevents treatment if one or more parameters are out of tolerance.<br />

2. Treat the first field and make during and or post-treatment portal images if necessary.<br />

3. Click Record in the Record Treatment dialog box or Record Port dialog box (or<br />

Composite Record Treatment dialog box).<br />

4. Select the next treatment field, then mode up the linac.<br />

5. Change the patient position if necessary.<br />

6. Treat the next field and make portal images if necessary.<br />

7. Continue to treat the remaining fields or end the session if necessary.<br />

8. Capture charges.<br />

Using Auto-Setup without Console Setup<br />

If you use a linac other than an Elekta Precise, a Varian EXCI or a Varian 4DITC, you can<br />

Auto-Setup the parameter values. The difference is that you cannot manually change values<br />

from <strong>MOSAIQ</strong> in the same way as Console Setup, which is in the subsequent section.<br />

1. In the Treatment Delivery Table dialog box, double-click the field to treat.<br />

2. In the Verified Treatment window, click Auto Setup.<br />

3. In the Auto-Setup Parameters message box, click Yes.<br />

4. Go into the treatment room to make sure the Auto-Setup parameters are correct.<br />

On Varian non-EXCI linacs, you have two minutes from the time you<br />

click Yes until you hold the enable bars and press the Auto button on<br />

the pendant. If you take longer than two minutes, you must re-do the<br />

Auto-Setup.<br />

Also, the gantry and collimator move only as long as you hold the<br />

enable bars. You must continue to hold the enable bars until the<br />

gantry and collimator are at the desired angles.<br />

5. Use the Auto Motion feature for your linac as directed by your linac manufacturer.<br />

Copyright 2010, Elekta Impac Software 257<br />

LUGMSQ0002/4.0/23-Sep-2010

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