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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

………………………………………………………………………………………………

…………………………………………………………………………………………………………………

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Slide courtesy of Sophie Alexander