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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
NO
Auto table movement
and treat
Contact clinical lead or urology
clinician to review registration
prior to delivery
Professional
Judgement!
Confident
acceptable
coverage?
Post correction-
Is bony anatomy
rotated ≤0.5cm
from registered
position at the top
of Sacrum?
(Use alt function to
measure if unsure)
Auto table movement
and treat
*Discuss imaging with
clinical lead offline
YES
NO
Evaluate PTV
nodes
coverage
Is prostate
within
PTV
prostate
?
YES
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
Online
decision making for CBCT verification
Prostate and nodes
Courtesy of Steven Landeg, RMH