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MOSAIQ User's Guide - UCSF Radiation Oncology

MOSAIQ User's Guide - UCSF Radiation Oncology

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Appendix B: Warnings and Cautions in <strong>MOSAIQ</strong><br />

Treatment Field Note Before the Verified Treatment dialog box opens, each field note<br />

typed and marked Alert (for any active field) will immediately<br />

appear - one by one. The Treatment Field Note will appear at<br />

the bottom of the screen.<br />

Portal Image Dose<br />

Compensation<br />

You can configure SEQUENCER to automatically change the<br />

treatment field dose on days when you make portal images, to<br />

keep the fractional dose constant. You can easily track portal<br />

image dosages as part of the daily treatment. SEQUENCER can<br />

accomplish this regardless of whether you make portal images<br />

before or after you treat the field.<br />

Capture Settings For emergency patients, or patients who have not been<br />

simulated, you can setup the patient on the linac and then<br />

capture the setup parameters in a Treatment Field Definition<br />

dialog box.<br />

Post-Treatment Warnings<br />

Actual MU Less Than<br />

Set MU. Record?<br />

Actual MU GREATER<br />

THAN Set MU!<br />

All Fields Not<br />

Treated! Exit?<br />

All Fields Treated.<br />

Exit?<br />

General Warnings<br />

SEQUENCER shows this warning message when you are about<br />

to record a treatment without delivering the monitor units as<br />

they were set to be delivered when the treatment began (beamon).<br />

SEQUENCER shows this message when you have delivered<br />

more monitor units than the number set to be delivered when<br />

the treatment began (beam on). If you receive this message,<br />

contact your supervisor.<br />

If you start Treatment Delivery and treat at least one field, after<br />

you click Exit, this message appears. This is to prevent you<br />

from inadvertently exiting before you treat all of the prescribed<br />

fields.<br />

SEQUENCER gives you the flexibility to return to the<br />

Treatment Delivery Table and select another field for treatment.<br />

In addition to the warning messages appearing on-screen, familiarize yourself with all the<br />

following general warnings before you treat patients.<br />

Capture Settings Before you use the Capture Settings option, make sure that you<br />

selected the correct patient, that the linac geometric parameters<br />

are set up according to plan with the patient in the correct<br />

treatment position, and that the correct console parameters<br />

show on the treatment unit console. <strong>MOSAIQ</strong> receives the<br />

incorrect or missing information from the linac.<br />

Copyright 2010, Elekta Impac Software 283<br />

LUGMSQ0002/4.0/23-Sep-2010

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