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NB

All operators must have completed competency assessment (S-WB-019) to carry out prostate soft tissue

matching. It may be necessary for the clinical lead or urology clinician to review imaging offline.

Soft tissue

registration complete

YES Auto table movement

and treat

Post correction-

Is bony anatomy

rotated ≤0.5cm

from registered

position at the top

of Sacrum?

(Use alt function to

measure if unsure)

Is prostate

within

PTV

prostate

?

YES

Online

decision making for CBCT verification

Prostate and nodes

NO

Contact clinical lead or urology

clinician to review registration

prior to delivery

Professional

Judgement!

Confident

acceptable

coverage?

Auto table movement

and treat

*Discuss imaging with

clinical lead offline

YES

NO

Evaluate PTV

nodes

coverage

NO

Can a manual

adjustment be

made

to ensure

prostate within

PTV

prostate

?

Contact clinical lead or urology

clinician to review registration

prior to delivery

NO

YES

Courtesy of Steven Landeg, RMH