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
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