BLADDER VOLUME
RED
=UNDER OR OVER FULL– PROBABLE CAUSE OF
INADEQUATE PTV COVERAGE.
AMBER
= UNDER OR OVER FULL – NOT AFFECTING PTV
COVERAGE.
GREEN
= SIMILAR TO PLANNED VOLUME.
RECTAL VOLUME
RED
= UNDER OR OVER FULL- PROBABLE CAUSE OF
INADEQUATE PTV COVERAGE.
PITCH
RED
= >4
O
AMBER
= 3-4
O
GREEN
= <3
O
BODY CONTOUR
RED=
≥1CM AT ALL FIELD ENTRY POINTS.
CERVIX CBCT ASSESSMENT SHEET
STUDY LETTER: ………………………… IMAGE NUMBER: …………………………………
Online CBCT Soft Tissue Imaging Competency
Programme
AMBER
= UNDER OR OVER FULL- NOT AFFECTING PTV
COVERAGE.
GREEN
= SIMILAR TO PLANNED VOLUME.
AMBER=
CHANGE ≥1CM AT 1 POINT.
GREEN=
<1CM CHANGE
PTV COVERAGE
RED
= PTV CONTOUR NOT COVERING TARGET.
AMBER
= TARGET AT EDGE OF PTV CONTOUR.
GREEN
= ≥3mm MARGIN AROUND TARGET.
DECISION (PLEASE SELECT ALL THAT APPLY)
SEEK ADVICE BEFORE NEXT #
SEEK ADVICE IF INTERVENTION FAILS
(E.G. DR, SUPERINTENDENT, PHYSICS
)
NO ACTION
REPEAT CBCT
REVIEW BOWEL PREPARATION
DRINKING INSTRUCTIONS/ QUANTITY
REVIEW TATTOO ALIGNMENT
TAKE FSDs AT FIELD ENTRY POINTS
COMMENTS
………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………....................................................................................................................
Slide courtesy of Sophie Alexander