Users Manual Part 1
Clinical User’s Guide
IBA | 1-3|
Volume 1 - Treatment Session
Introduction
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For many tumor types, CT scans are instrumental in enabling the PPVS (e.g.,
adaPTinsight) to perform the correction vector calculation at the time of treatment.
With such input material the PPVS will be able to perform an automatic image
registration.
Certain tumor types, e.g., prostate tumors, require patient specific landmarks to be
established as fiducial points. In these cases, a number of implants will identify
specific locations on the tumor on the CT scan. At the time of treatment these
locations need to be selected in the PPVS (e.g., adaPTinsight).
The CT scans will be instrumental in computing proper patient alignment corrections
at the time of treatment.
The Treatment Planning System (TPS) is connected to the OIS via a DICOM
1
connection, which renders the data interchangeable. The DICOM protocol is the de
facto standard communications protocol for medical applications.
Oncology Information System (OIS)
One very efficient way of entering prescription data into the PTS software is by using
an OIS. The OIS is capable of managing and communicating all patient and treatment
related data, potentially coming from various systems offering diverse treatment
types, such as conventional radiation therapy, proton therapy, and others. The OIS is
the central repository for prescription data of all treatment types.
Various systems offering diverse treatment types, such as conventional radiation
therapy, proton therapy, and others, can communicate patient and treatment related
data with the OIS.
Once completed in TPS, the treatment plan data is transmitted through the Dicom
protocol from the TPS to the OIS. At treatment time, the plan is transmitted from the
OIS into PTS software, each time via the DICOM interface. At the end of the
treatment, a treatment record is sent back from the PTS software to the OIS; this
information is recorded in the OIS.
The OIS cooperates with the PTS working in DevC mode (Device Centric mode),
whereby the PTS is in command of the communication with the OIS.
1. DICOM is the registered trademark of the National Electrical Manufacturers As-
sociation for its standards publications relating to digital communications of
medical information.
Important It is recommended to use an Oncology Information System (OIS) to
manage all patient and treatment related data.