Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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MOSAIQ Dosimetrist/Physicist Training Guide Module III Copyright 2009, IMPAC Medical Systems 94 LTGRAD0005C/1.0/31-Mar-2009 Appendix A Getting Your System Started After your system is configured, you can add patients currently under treatment and begin tracking them the same as new patients. There are 2 basic tasks when you add an existing patient: add the patient with the diagnosis, prescription, and treatment fields, then manually record all dose delivered to date. This appendix provides 4 different options to retrofit and populate your system with your current patient information. Each option includes a typical example for the option, a basic outline of the steps, a list of benefits for the option, and a list of drawbacks for the option. For details about the steps in each option, refer to the applicable lesson in this guide, or refer to the MOSAIQ documentation. Option 1: Add the Prescription, Manually Record Treatments, Then Treat Remaining Fields from the System Patient Setup Consider the patient information below as a typical example for Option 1: • The physician prescribes 4500cGy at 180 per day (25 fractions and Daily fractionation). The radiation oncologist adds 1 basic radiation prescription. • Before you changed to MOSAIQ, the patient received 4140 cGy at 180 per day (23 fractions). The clinician manually records the 23 treatments and adds the start date and the correct total MU per field. • The remaining dose to be delivered is 360 cGy (2 fractions). The clinician uses the Treatment Chart/Calendar to schedule and treat the remaining dose. Use the steps below to set up the patient per Option 1: 1. Add a diagnosis and course of therapy for the patient, the same as for new patients. Refer to Lesson 2 in Module I of this guide for details. 2. Add a prescription for the patient, the same as for new patients. Refer to Lesson 2 in Module I of this guide for details. 3. Add treatment fields for the patient, the same as for new patients. Refer to Lesson 3 in Module I of this guide for details. You can also import/export MLC files and RTP files (such as IMRT files). Refer to Appendix A in Module II
Appendix A: Getting Your System Started Copyright 2009, IMPAC Medical Systems 95 LTGRAD0005C/1.0/31-Mar-2009 Notes (import/export MLC files) and Lesson 5 in Module II (import/export RTP files) of this guide for details. 4. Set up dose tracking for the patient, the same as for new patients. Refer to Lesson 6 in Module II of this guide for details. 5. Manually record the dose delivered to date as a single treatment session. Refer to Lesson 7 in Module II of this guide for details. 6. Use the Treatment Chart/Calendar to schedule and treat remaining fractions. Refer to Lesson 9 in Module III (schedule treatments) and Lesson 7 in Module II (manually record treatments) of this guide for details. After you complete the steps for this option, the Treatment Chart for your patient shows a mismatch for the manually recorded treatments. The Treatment Chart window will look similar to Figure 80, which is based on the patient information given in the example for this option. Mismatch for the manually recorded treatments Figure 80: Treatment Chart Window with a Mismatch The Radiation Prescriptions dialog box also only shows 1 fraction treated. This appears even though you manually recorded multiple treatments for dose delivered. The actual dose based on your manually recorded treatments does appear in the upper pane of the Radiation Prescriptions dialog box. Your Radiation Prescriptions dialog box should look similar to Figure 81, which is based on the patient information for this option.
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Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology

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