Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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MOSAIQ Dosimetrist/Physicist Training Guide Module I Notes The Treatment Chart window has two views: the Treatment Calendar and Treatment Chart. Use the Treatment Calendar to plan radiation therapy treatments, and the Treatment Chart to review historic and planned treatments and start treatment delivery or QA Mode sessions. 9. Right-click or press F4, then click Add Simulation without Rad Rx…. Opens the Simulation Field dialog box. This option lets you add a simulation field that is not associated with a radiation prescription. (adding simulation fields is covered in this lesson.) 10. Right-click or press F4, then click Add Tx Field without Rad Rx…. Opens the Treatment Field Definition dialog box. This option lets you add a treatment field that is not associated with a radiation prescription. (Manually adding a treatment field is covered in this lesson.) 11. Click and hold the left mouse button down over a treatment field you wish to move to a new radiation prescription, then drag the field to another radiation prescription. Moves the treatment field. 12. In the warning message box, click . You can also right-click or press F4, then click Treatment Order… and use the Treatment Order window to change the sequence of the treatment fields. Use the and in the Treatment Order window to specify the sequence to treat the first 15 fields defined for the patient. If you must set a treatment order for more than 15 fields, use the Treatment Calendar. 13. Move the treatment field back to its original position. What's Next Congratulations! You have completed Module I of the Dosimetrist/Physicist training guide. In this lesson, you learned how to add simulation fields, positioning devices, site simulations, and site setups. You learned how to copy simulation fields into treatment fields, add field/MU dose specifications, and add accessory/geometric settings. You also learned how to add treatment field notes, apply tolerance tables, copy treatment fields, set up accessory verification, and manually add treatment fields. Finally, you learned how to change treatment fields, approve treatment fields, and use Diagnoses and Interventions options for treatment fields. Use the Quick Version as a concise, step-by-step guide when you must quickly apply any of the skills you have learned in this lesson or if you simply want to reinforce what you have learned. 120 Copyright 2009, IMPAC Medical Systems LTGRAD0005A/2.0/26-Feb-2009
Lesson 3: Adding Simulation and Treatment Fields Copyright 2009, IMPAC Medical Systems 121 LTGRAD0005A/2.0/26-Feb-2009 Notes Quick Version Adding Simulation Fields – Header Information 1. Open the chart for your patient, then open the Radiation tab of the Diagnoses and Interventions window. 2. Click the radiation prescription, then click to open the Simulation Options Menu. 3. Click Field to open the General tab of the Simulation Field dialog box. 4. Type the number of the simulation field, such as 1, in the first Sim Field, then press TAB. 5. Type the name of the simulation field, such as Lt. AP Lung, in the second Sim Field. 6. Click adjacent to the Machine field to open the Location Directory window. 7. Double-click a treatment machine, such as Clinac MLC (80). Adding Simulation Fields – Measurement Settings 1. In the Simulation Field dialog box, type the Source to Skin Distance in the SSD measurement field. 2. Type the Source to Film Distance in the SFD measurement field. 3. Type the Source to Axis Distance in the SAD measurement field. Adding Simulation Fields – Geometric Settings 1. In the Simulation Field dialog box, type the size of the X jaws in the Field X geometric field. 2. Type the size of the Y jaws in the Field Y geometric field. 3. Type the couch vertical setting in the Couch Vrt geometric field. 4. Type couch lateral setting in the Couch Lat geometric field. 5. Type the couch longitudinal setting in the Couch Lng geometric field. Adding Simulation Fields – Radiography Settings 1. In the Simulation Field dialog box, click to open the Radiography tab. 2. Type the kVp value in the kVp field in the Exposure group. 3. Type the mA value in the mA field.
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Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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