MOSAIQ User's Guide - UCSF Radiation Oncology

MOSAIQ User’s Guide
1. Follow the instructions in the Treatment Readiness Check dialog box.
If the highlight color is yellow or green, click Continue. If the highlight color is red, you
must override or change any field for which SEQUENCER prevented treatment.
2. Click Continue after you override.
If your linac is a Varian 4DITC or Siemens Syngo, SEQUENCER makes an outbound check
after you click Send Plan from the Treatment Delivery Table. This is to make sure that any
changes made (when you change or hide fields, etc.) do not cause additional issues.
Field Sequencing Verification Checks
The Treatment Readiness Check does the same validations as the Treatment Calendar. If
MOSAIQ finds errors in any field in the CFS (Consolidated Field Sequencing) during the
standard Treatment Readiness Check treatment delivery with either a CFS or an AFS
(Automatic Field Sequencing) session is prevented. You must treat the fields on the
Treatment Calendar separately. You must acknowledge warnings or override parameters as
noted by the Treatment Readiness Check to deliver treatment. You can manually stop the
CFS session to work around unresolved errors requiring acknowledgements or overrides.
A valid CFS must include the following:
All fields must have the same treatment machine.
All fields must be of Type Static or StepNShoot.
All fields must be of Modality X-Rays.
All fields must have an MLC defined.
No fields may have a physical wedge.
No fields may have the text “CUSTOM” for compensator, block, or bolus.
All fields must have the same defined text in the block code, if a block code is
present in any of the fields.
All fields must have the same defined text in the bolus code, if a bolus code is present
in any of the fields.
All fields must have the same defined text in the compensator code, if a compensator
code is present in any of the fields.
All fields must have the same couch positions or be within +/- 1mm tolerance of the
first field in the session.
The CFS sequence may pass initial Treatment Calendar CFS checks, but one or more fields
within the CFS session may not pass the additional treatment readiness checks. In that case,
you can either resolve an outstanding error during the session or skip those unresolved errors
in order to treat the eligible fields separately.
Port Film Status
The Port Film Status window shows the results of the pre-treatment portal image check.
1. Click View to open the Image Review window.
2. Click OK or Cancel to open the Verified Treatment window.
262 Copyright 2010, Elekta Impac Software
LUGMSQ0002/4.0/23-Sep-2010