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Taxonomies and Severity Scales
Taxonomy Review:
Process maps
»Severity »Causes »Barriers
28
TG 100’s Process Tree
Successful treatment
Consultation
and decision to treat
Imaging and
diagnosis
Subsequent
treatments
Chart filing
Decisionof treatment
technique
Treatment review
Decisionofprotocol
Immobilization
equipment
fabricated
Immobilization equipment
documented,
labeled, and stored
Immobilization for
Imaging study
Setupdata
documented
Timeout
Positioning
Imaging (port films,CBCT,etc)
27
Documentation
Treatment
3
Treatment
3
Documentation
Dosimetry
Physics
MD
Immobilization
equipment
documented,
labeled, andstored
Scheduling
ConstructBlocks
Compensators
Bolus,Etc
Scheduling for
planning process
RTP anatomy
contouring
Patient database
information entered
Data intoelectronic
Database
21
Data intowritten
chart
21
Reviewofpatient
medicalhistory
Immobilization
equipment fabricated
Import and fuse images
16
MD
:
delineate
GTV/CTV
1,2,5, 53, 56
PTVconstruction
Editdensitymap
for artifacts
DelineateROIs and
planning structures
Indicatemotion/uncertainty
Management
13
Specify registrationgoals
23, 37
Specifyprotocol fordelineating
target and structures
17
Specify images for
target/structuredelineation
11
Specifydose limits andgoals
26
Suggest initialguidelines for
treatmentparameters
Enterprescription
19, 47
Setup fields
Setupdose
calcparameters
Optimization/Dose calculation
12, 29, 31
Evaluateplan
10, 28
Initial treatment
planning directive
Treatment planning
Immobilization
and positioning
Imaging (CT/PET/MR)
Treatment preparation
Plan prep
Initial treatment
Patient Identified
Special Instructions
(pacemakers, allergies,
preps,etc.)
9
Account forprevious treatments
orchemotherapy
4
Motionmanagement
8
TxUnitoperation
and calibration
3
Informationonprevious
orconcomitant treatment
8
Protocol fordelineation
of targets
9,17
Patient ID
TreatmentSite
Treatment settings
Imaging
Motion
Management
8
Protocol forPTV
Margin
6, 48
SpecifyPTVMargin
Select Images
25
4D imaging correct
14
OptimizationROI
18, 33, 44
Optimization settings
22, 45, 51
Treatmentaccessories
24
Booleanoperations
30, 46
Changesnoted
32,34
Ptprep
35
MonitorPt/Tx
38, 42
MonitorPt/Tx
38
Transferpatientdata to treatmentdelivery
15
Manualdata entry andplanmodification
39
Specify treatment course
Deliveryprotocols
Scheduling
Automatic data entry andplanmodification
SpecifyROI foroptimization
18
Enterdemographics,
49
PrepareDRR andother images
50
Treatment settings
Positioning
Ptprep
35,52
Changes correct
40, 43
Transfer images andother
DICOMdata:primary and
secondarydata transferred
41
Run leaf sequencer
54
Pt changesnoted
55
ImagingStudies
Patientprepped
(contrast, tattoos,
BBs etc.)
Check versionof
plan andpatient ID
7
Treatment accessories
24
Plan Approval
ApprovePlan
FinalPrescription
Huq MS, Fraass BA, Dunscombe P, et al. The report of Task Group 100 of the AAPM: Application of risk analysis
methods to radiation therapy quality management. Medical Physics 43, 4209 – 4262. 2016.