Quality Management 2017

Process Chart To Do list – Brain Met. Stereo RT

Patient out of dressing room (hh.mm)

Done (Y/N)

Place treatment beams and positionning beams in correct order Select CB-CT Place a radio-opaque marker on carbon fiber head support Install patient

Is a part of a treatment procedure Made by a Physicist who is involved in treating the patient The Physician signs the document ‘on-line’ And participates in the session Mandatory while doing any Stereo RT at our center (brain, lung or bone met.) Each action is performed in a specific order (‘ modus operandi’ )

Carve up mask above contralateral eyebrows.

Place mask et radio-opaque marker on patient

Perform shifts and markings

Place a radio-opaque marker on mask at isocenter

Acquire CBCT and perform 3D-registration of table shifts 3D Acquire kV image ‘Ant Head-AP’ (270°-Arm)

Patient installation Table positioning Control imaging Treatment arcs delivery Medical validation

Record distances of points to graduation axis Acquire KV image ‘Post Head-AP’ (90°-Arm)

Record distances of points to graduation axis Deliver first transverse Arc Table at 0°

Select KV-270° (90°-Arm)