Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology
Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology
Dosimetrist/Physicist Training Guide - UCSF Radiation Oncology
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Appendix A: Getting Your System Started<br />
Copyright 2009, IMPAC Medical Systems 101<br />
LTGRAD0005C/1.0/31-Mar-2009<br />
Notes<br />
Drawbacks of Option 3<br />
• The treatment shown as delivered in the electronic chart does not reflect the actual<br />
total dose prescribed and delivered.<br />
• If you keep the paper chart, it does not match the electronic chart.<br />
Option 4: Add a Prescription for the Entire Dose<br />
(cGy) and Deliver Manually Recorded<br />
Treatments for All Fractions<br />
Patient Setup<br />
Consider the following patient information as a typical example for Option 4:<br />
• The physician prescribes 4500cGy at 180 per day.<br />
• Before you changed to MOSAIQ, the patient received 4140 cGy at 180 per day<br />
(23 fractions).<br />
• The therapist creates a prescription for the entire dose (4500cGy with a fractional<br />
dose of 180 and a Daily fractionation pattern).<br />
• The therapist manually records all the treatments.<br />
• The therapist adjusts the dates for each treatment field, so that the system records<br />
the correct date.<br />
Use the following steps to set up the patient per Option 4.<br />
1. Add a diagnosis and course of therapy for the patient, the same as for new<br />
patients. Refer to Lesson 2 in Module I of this guide for details.<br />
2. Add a prescription for the patient, the same as for new patients. Refer to Lesson<br />
2 in Module I of this guide for details.<br />
3. Add treatment fields for the patient, the same as for new patients. Refer to<br />
Lesson 3 in Module I of this guide for details. You can also import/export MLC<br />
files and RTP files (such as IMRT files). Refer to Appendix A in Module II<br />
(import/export MLC files) and Lesson 5 in Module II (import/export RTP files)<br />
of this guide for details.<br />
4. Set up dose tracking for the patient, the same as for new patients. Refer to Lesson<br />
6 in Module II of this guide for details.<br />
5. Add a Treatment Calendar with same start date as the date when the patient<br />
treatment started. Refer to Lesson 9 in Module III for details.<br />
6. Manually record the dose delivered to date for each treatment session with the<br />
actual treatment dates. Refer to Lesson 7 in Module II of this guide for details.
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