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Breast and SCF treatments

Posted: Thu Jul 11, 2024 5:59 pm
by GeorgeG
Hi all
We have recently gone live with AlignRT and are having some fun and games with our breast and SCF patients.
Currently we use a single iso technique with both the breast and scf being planned separately. This means we have to switch between the scf plan and breast plan, restart monitoring and beam control etc as we switch fields.
The other concern is after we have applied imaging shifts we are having to take new reference captures on both plans. For DIBH patients this totals 4 ref capture. Then, as we switch between plans, we have to manual select the new ref capture as it defaults to CT SIM surface.

A few questions....
1. Has anyone found a similar problem?
2. How do other departments plan their breast and scf pts?
3. Has anyone tried NOT setting default to CT SIM during plan preparation?
4. Anyone have any other suggestions?

Thanks
George :)

Re: Breast and SCF treatments

Posted: Wed Aug 14, 2024 8:38 am
by joshua_naylor
presumably you re-image as you change set up for SCH / breast? what is the issue with doing a ref capture after each imaging session? that sounds normal to me. you may be able to change it to not default to the CT surface, but you definitely want to use that surface for initial set up