2017_IGRT course book

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. Online decision making for CBCT verification Prostate and nodes

Soft tissue registration complete

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

YES

YES

Auto table movement and treat

PTV

?

prostate

NO

NO

Can a manual adjustment be made to ensure prostate within PTV prostate ?

Evaluate PTV

coverage

nodes

YES

Auto table movement and treat *Discuss imaging with clinical lead offline

Professional Judgement! Confident

YES

acceptable coverage?

NO

NO

Contact clinical lead or urology clinician to review registration prior to delivery

Contact clinical lead or urology clinician to review registration prior to delivery

Courtesy of Steven Landeg, RMH