|Part IV - Using adaPTprescribe Getting Started With adaPTprescribe | Logging into adaPTprescribe Double-click the adaPTprescribe icon and the ADAPTprescribe LOGIN SCREEN appears. Figure 24-2. adaPTprescribe Login Screen Enter your user name and password, as obtained from your administrator, and select your language and operating mode. User name and password are case sensitive. Should you want to change your password, please contact your administrator.
|Part IV - Using adaPTprescribe Getting Started With adaPTprescribe | Logging out From adaPTprescribe To logout from adaPTprescribe click Logout from the navigation bar of any adaPTprescribe screen. You are prompted to confirm that you want to proceed with logout, or to cancel. You have the option to cancel or to proceed with your logout. When you logout, the ADAPTprescribe LOGIN SCREEN reappears. You or another user can login.
|Part IV - Using adaPTprescribe Getting Started With adaPTprescribe | adaPTprescribe Screen Layout The adaPTprescribe screens are intuitive to use and have a uniform layout. header search area navigation bar selection area footer data area Figure 24-3. adaPTprescribe Screen (Typical) Major screen components are: Header: this panel displays the name of the program module that you are currently using (i.e., Prescription) along with the current date and time, and the login ID of the user.
|Part IV - Using adaPTprescribe Getting Started With adaPTprescribe | Navigation bar: indicates the entity that you have currently selected, if any. Possible entities are Patient, Study, Plan, Beam, and Layer. The currently selected entity is listed in Green. The Logout button at the bottom of the navigation bar enables you to logout from adaPTprescribe. For detailed information, refer to Section “Logging out From adaPTprescribe“ on page 24-4. Search area: you can search for a patient.
Chapter 25 How adaPTprescribe is Organized •••••• Treatment plans including the patient, study, plan, and beam definition are exported from the Treatment Planning System (TPS), imported into the PTS database and displayed in adaPTprescribe. The adaPTprescribe application is used to review and baseline plans and beams in preparation for treatment. Those plans and beams that have been baselined become accessible using adaPTdeliver.
|Part IV - Using adaPTprescribe How adaPTprescribe is Organized | Patient Study Study Study Plan Plan Plan Beam Beam Beam Layer Layer Layer Figure 25-1. Treatment Data Organization Note: The layer entity is only applicable to Pencil Beam Scanning.
Chapter 26 Managing Patients •••••• From the PRESCRIPTION SCREEN you can: View patient data: for detailed information, refer to section “Viewing a Patient“ on page 26-2. Search for a patient: for detailed information, refer to section “Searching for a Patient“on page 26-3. Arrange patients: for detailed information, refer to section “Arranging Patients“ on page 26-7. Select a patient: for detailed information, refer to section “Selecting a Patient“ on page 26-7.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-1. Prescription Screen (Typical) Note: The New patient button in the footer of the PRESCRIPTION SCREEN enables you to manually create a patient. If these are created with the correct IDs, the plans imported from the TPS will be attached to these IDs. Typically, however, a patient gets created automatically from the imported DICOM plan.
|Part IV - Using adaPTprescribe Managing Patients | Searching for a Patient You can search for a patient from the Search area of the PRESCRIPTION SCREEN. search mode selection search field magnifier Figure 26-2. Search Area The search mode options are: Simple search: indicated by the Advanced search: indicated by the magnifier (see Figure 26-2). search mode selector (see Figure 26-2). Performing a Simple Search To perform a simple search: 1.
|Part IV - Using adaPTprescribe Managing Patients | Performing an Advanced Search As an alternative to the simple search you can perform an advanced search to retrieve the desired patient. To perform an advanced search, click the search mode selector so that it points to the right . The ADVANCED SEARCH PANEL appears. Figure 26-3. Advanced Search Panel From the ADVANCED SEARCH PANEL you can enter any of the following: IBA | 26-4 | Patient ID: the ID of the patient, in whole or in part.
|Part IV - Using adaPTprescribe Study Active: Active Inactive All Plan Clinical User’s Guide Volume 1 - Treatment Session Managing Patients | Baselined: Baselined Unbaselined All Active: Active Inactive All Origin: Standalone DEVC_FE EMRC_FE Batch_FE All Treatment Machine: the list of TR IDs Plan Intent: this is an indication of the intended use of the plan. The options are: Curative: an actual treatment plan.
|Part IV - Using adaPTprescribe Managing Patients | Beam Baselined: Baselined Unbaselined All Delivery Technique: the selected treatment mode (e.g., PBS). From the ADVANCED SEARCH PANEL you can click any of the following buttons: Find: to perform a search based on the selected criteria. The searched patient appears in the Selection area. Clear: to clear all fields on the ADVANCED SEARCH PANEL. IBA | 26-6 | : to cancel the advanced search.
|Part IV - Using adaPTprescribe Managing Patients | Arranging Patients To facilitate the selection of the desired patient you can arrange the patients that are on display in the selection area. Whenever there are several patients listed in the selection area, you can right-click in the selection area and a pop-up menu appears (see Figure 26-4). Figure 26-4.
|Part IV - Using adaPTprescribe Managing Patients | When you select a patient in Read-only mode, the patient is not locked. However, if you select the patient in Editing mode, you lock that patient. For detailed information, refer to section “Unlocking a Patient“ on page 26-12. Figure 26-5. Patient Panel (typical) From the PATIENT PANEL (TYPICAL) you can view essential patient details. To view the irradiation history of the patient, if existing, click the button next to the patient ID.
|Part IV - Using adaPTprescribe Managing Patients | Importing a Patient Using DICOM You can opt to import DICOM data on an existing patient using the DICOM interface. To do so, click Import Patient. Select the desired folder and DICOM file and click Open to import this data into adaPTprescribe. Figure 26-6. Patient Data File Selection The imported patient data is added into the selection area.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-7. Patient Edit Screen To edit a patient: 1. Click Edit Patient from the PRESCRIPTION SCREEN (see Figure 26-1). The PATIENT EDIT SCREEN appears. 2. Edit the information, as required. 3. Click Save. 4. Click Editing Done. Impact of Editing Activities on an External Plan A plan is called ‘External’ when it got imported using the batch importer, the Import Patient button, or the OIS interface.
|Part IV - Using adaPTprescribe Managing Patients | Table 26-1.
|Part IV - Using adaPTprescribe Managing Patients | Activating or Deactivating a Patient Any patient who gets created is, by definition, Active. Active patients are available for treatment. Patients may be deactivated because the treatment following that plan has been discontinued. Deactivated (or ‘Inactive’) patients can still be accessed from adaPTprescribe as their data remains present in the database, but you will no longer be able to select them for further treatment.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-8. Locked Patient Depending on your user rights, you may have the right to unlock a patient. Purpose of the Unlock function is to unlock the patient in case of a system abort, i.e., for recovery purposes only. The Unlock function must never be used to unlock a patient who is being treated in another TR. To unlock that patient, click Unlock patient. The UNLOCK CONFIRMATION PROMPT appears.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-9. Unlock Confirmation Prompt Note: Never unlock a patient that is locked during irradiation! The UNLOCK CONFIRMATION PROMPT informs you of the user who is currently locking the patient, along with the relevant TR (if locked by adaPTdeliver) and the date and time. If you want to proceed with unlocking this patient: IBA | 26-14 | Verify that the patient is not in the TR anymore. Enter your name and password.
|Part IV - Using adaPTprescribe Managing Patients | Creating a Study You can create a new study for any existing internal or external patient. Figure 26-10. Create Study Screen To create a study, proceed as follows: 1. Search for the desired patient. 2. Click Edit Patient from the footer of the PRESCRIPTION SCREEN. 3. Click Create Study. The CREATE STUDY SCREEN appears. 4. Enter the required study details. For information, refer to Chapter 27, “Managing Studies”. 5. Click Editing Done.
|Part IV - Using adaPTprescribe Managing Patients | Obtaining Irradiation History Reports Click the button next to the patient ID on the PATIENT PANEL (TYPICAL) and the IRRADIATION HISTORY appears. Figure 26-11. Irradiation History The IRRADIATION HISTORY displays the list of all irradiations that the patient has received so far. The irradiations are organized at two levels, by plan and beam. To display or hide the beams in a plan, click the respectively.
|Part IV - Using adaPTprescribe Managing Patients | In addition, you can perform one of the following functions, depending on your plan or beam selection: Export DICOM: click a plan and the Export DICOM button becomes enabled in the footer of the screen. Note: The export in DICOM format is only available for external prescriptions. For detailed information, refer to section “Exporting the Irradiation History of a Plan in DICOM Format” on page 26-18.
|Part IV - Using adaPTprescribe Managing Patients | Exporting the Irradiation History of a Plan in DICOM Format To export the irradiation history of a plan in DICOM format: Click the plan from the IRRADIATION HISTORY. The Export DICOM button becomes enabled. Click Export DICOM at the bottom of the history. The SAVE SCREEN (DICOM FORMAT) appears, from which you can select the proper location where you want to store the history record. Click Save to save the plan. Figure 26-13.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-14. Save Screen (DICOM format) Note: The history record is saved in DCM (DICOM) format. Displaying the Irradiation History of a Beam To display the irradiation history of a beam: Click that beam from the IRRADIATION HISTORY. The IRRADIATION REPORT appears (see Figure 26-16). Figure 26-15.
|Part IV - Using adaPTprescribe Managing Patients | The IRRADIATION REPORT is spread over three pages, or more; to scroll to another page of the report, click the corresponding arrow button at the top of the screen. You can also opt to save or print the report. Figure 26-16.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-17.
|Part IV - Using adaPTprescribe Managing Patients | Figure 26-18.
Chapter 27 Managing Studies •••••• Click the arrow next to the desired patient in the selection area and the list of studies of that patient appears. Figure 27-1.
|Part IV - Using adaPTprescribe Managing Studies | Searching for a Study You can search for a study of a given patient, or among multiple patients, using the ADVANCED SEARCH PANEL (see Figure 26-3). For detailed information on how to perform an advanced search, refer to section “Performing an Advanced Search” on page 26-4.
|Part IV - Using adaPTprescribe Managing Studies | Viewing a Study To view a study, click that study from the selection area. Figure 27-3. Study Panel The fields on the STUDY PANEL are as follows: Study ID Description Active: an indication whether or not this study is activated for treatment. Any newly imported study is Active. For detailed information on how you can deactivate a study, refer to section “Activating or Deactivating a Study” on page 27-3.
|Part IV - Using adaPTprescribe Managing Studies | Deactivating a Study To deactivate a study: 1. Click Edit Patient. 2. Click Deactivate. 3. Click Editing Done. Activating a Study To activate a study: 1. Click Edit Patient. 2. Click Activate. 3. Click Editing Done. Note: Activating an inactive study that belongs to an inactive patient automatically activates the patient as well.
Chapter 28 Managing Plans •••••• Click the arrow next to the desired study in the selection area and the list of plans of that study appears. Figure 28-1.
|Part IV - Using adaPTprescribe Managing Plans | Searching for a Plan You can search for a plan, of a given patient or study, or among multiple patients and studies, using the ADVANCED SEARCH PANEL (see Figure 26-3). For detailed information on how to perform an advanced search, refer to section “Performing an Advanced Search” on page 26-4.
|Part IV - Using adaPTprescribe Managing Plans | Figure 28-2.
|Part IV - Using adaPTprescribe Managing Plans | Viewing a Plan To view a plan, click that plan from the selection area. Figure 28-3. Plan Panel The fields on the plan panel are as follows: Plan Label: the plan ID Description Origin Active: an indication whether or not this plan is activated for treatment. Any newly imported plan is Active. Plans imported through the OIS interface are automatically deactivated at the end of the OIS treatment session.
|Part IV - Using adaPTprescribe Managing Plans | Treatment Machine Patient Support Category Patient Orientation Immobilization Baselining a Plan ‘Baselining’ means giving approval for treatment. Note: A plan can only be baselined if all of its beams have been baselined before, including the Setup beam. A plan that is not baselined is identified by the ( ) icon. Figure 28-4. Unbaselined Plan To baseline a plan: 1. Click Edit Patient. 2. Verify all plan data. 3.
|Part IV - Using adaPTprescribe 4. Managing Plans | If the plan contains more than one isocenter, the system will trigger a consistency check between the isocenters positions and the PPS positions. If there are inconsistencies (i.e.
|Part IV - Using adaPTprescribe Managing Plans | Figure 28-6. Couch Positions Check - Pop-Up Message There is a configurable tolerance for the check (default value 2 mm), which can be modified by IBA following a user request. Click OK if you want to proceed with your selection, else click Cancel. There is a user right: ISOCENTER_CHECK_OVERRIDE to authorize users to continue with the workflow despite the consistency check finding an inconsistency.
|Part IV - Using adaPTprescribe Managing Plans | The plan and its beam(s) are unbaselined after pasting. You can edit the plan and/or its beam(s) after pasting Copying a Plan To copy a plan: 1. Right-click that plan. A pop-up menu appears. 2. Select Copy. Pasting a Plan To paste a plan: 1. Select the study where you want to paste the plan. 2. Click Edit Patient to enter edit mode. 3. Right-click the study. A pop-up menu appears. 4. Select Paste.
|Part IV - Using adaPTprescribe Managing Plans | Activating or Deactivating a Plan Any plan that gets imported is by definition Active. Active plans are available for treatment. Plans may be deactivated because the treatment following that plan has been discontinued. OIS prescriptions are always deactivated at the end of the OIS treatment session.
|Part IV - Using adaPTprescribe Managing Plans | Intentionally left blank IBA | 28-10 | Clinical User’s Guide Volume 1 - Treatment Session
Chapter 29 Managing Beams •••••• Click the arrow next to the desired plan in the selection area and the list of beams of that plan appears. Figure 29-1. Beam List Screen From the BEAM LIST SCREEN you can perform the following functions: Clinical User’s Guide Volume 1 - Treatment Session View a setup beam: for detailed information, refer to section “Viewing a Setup Beam“ on page 29-3.
|Part IV - Using adaPTprescribe IBA | 29-2 | Managing Beams | View a treatment beam: for detailed information, refer to section “Viewing a Treatment Beam“ on page 29-5. Copy and paste a beam: for detailed information, refer to section “Copying and Pasting a Treatment Beam“ on page 29-6. Access layer details: for detailed information, refer to section “Accessing Layer Details“ on page 29-8. View layer details: for detailed information, refer to section “Viewing Layer Details“ on page 29-8.
|Part IV - Using adaPTprescribe Managing Beams | Viewing a Setup Beam To view a setup beam, click that beam in the list of beams. The SETUP BEAM DISPLAY SCREEN appears. Figure 29-2. Setup Beam Display Screen Apart from the beam description, which can always be edited, any imported setup beam can only be viewed. A setup beam provides positioning information only. Note: The ‘Baselined by’ field displays the name of the user who baselined the beam.
|Part IV - Using adaPTprescribe Managing Beams | An external tolerance table is preceded by a green checkmark ( ); if the tolerance table is not preceded by such a checkmark, it is an internal tolerance table. Viewing the Tolerance Table To view the selected tolerances, hover the mouse pointer over the Tolerance table field. A pop-up appears with the complete details of that tolerance table. Figure 29-3.
|Part IV - Using adaPTprescribe Managing Beams | Viewing a Treatment Beam To view a treatment beam, click that beam in the list of beams. The TREATMENT BEAM DISPLAY SCREEN appears. Figure 29-4. Treatment Beam Display Screen (Pencil Beam Scanning) Some specifics: The Delivery Technique field displays the treatment mode. The Baselined by field displays the name of the user who baselined the beam.
|Part IV - Using adaPTprescribe Managing Beams | Copying and Pasting a Treatment Beam The copy and paste conditions of a treatment beam depend on the intent of the plan to which the origin beam belongs, as follows: Copy a beam from a clinical plan and paste it into: must be non-baselined must have the same treatment machine, patient orientation and patient support category as the plan of origin.
|Part IV - Using adaPTprescribe Managing Beams | Copy a beam from a Machine_QA plan and paste it into: A plan of a QA-patient; this plan: must be internal must be non-baselined must have the same patient orientation and patient support category as the plan of origin can have another TR After pasting: the beam is unbaselined the beam can be edited Copying a Beam To copy a beam: 1. Right-click that beam. A pop-up menu appears. 2. Select Copy.
|Part IV - Using adaPTprescribe Managing Beams | Accessing Layer Details Note: Layer details are specific to the Pencil Beam Scanning and Uniform Scanning treatment modes. To access layer details, click the LIST SCREEN appears. button next to the No. Layers field. The LAYER Figure 29-5. Layer List Screen Viewing Layer Details Click any of the listed layers and a visual representation of that layer appears in the spot map. Note: You can also click the desired layer from the range scale.
|Part IV - Using adaPTprescribe column width can be modified Managing Beams | range scale layer palette list of layers spot map legend spot map Energy/Layer graph Figure 29-6. Layer Details Screen The Layer Details panel contains the following elements: Range scale: this is a graphic representation of the listed layers. Layers are possible in the 0 to 32 g/cm2 range. Note: If a value of 0 g/cm2 is desired, a range shifter must be used.
|Part IV - Using adaPTprescribe Managing Beams | Dose (MU): in addition to the value of the dose, a graphic representation is also given in the form of a colored bar. Time (s) Spot Size X (FWHM) (cm): this is a parameter that defines the width of the Gaussian distribution of the beam along the X-axis, at Full Width at Half Maximum. Spot Size Y (FWHM) (cm): this is a parameter that defines the width of the Gaussian distribution of the beam along the Y-axis, at Full Width at Half Maximum.
