Beam Placement and Beam Template creation

Beam Placement and Beam Template creation SOMATOM go.Sim, go.Open Pro (VA 40) MMRT Image Suite (RTiS) VB 60 Siemens Healthineers systems allow you to perform tasks in multiple ways and this is just one way to perform beam placement and beam template creation on the SOMATOM go. Sim and go.Open Pro. Beam Placement allows you to create geometric treatment plans and beams. You can define the geometric parameters of a treatment plan and the properties and shape of a beam. A geometric treatment plan does not include dose information. Dose calculation is not supported. Beam Placement provides one layout with three orthogonal MPR segments and one DRR segment. Only the MPR, MPR thick, and DRR display types are supported in the Beam Placement layout. Note: Please see the Instructions for Use to commission your Linear Accelerator. 1. The location of the configuration tools is under the configuration cog wheel. Select the cog wheel. 2. Select the Machine Configuration Tab. MM RT Image Suite RT Configuration ? > RT Configuration RT Image Suite Workflow Configuration Laser Configuration POI Configuration Machine Configuration Worldfow Configuration Lever Configuration Machine Contar Select Treatment Machine Demo Machine estmerk Machine Deine Machen Patient Marking Manufacturer Demo Manufacturer Manufacturer Registration Linac Configuration MLC Configuration Lnac Canbigunition MC ConAguation Available Energies Contouring MLC Orientation O X Number of Leaf Pairs AUS DILuce 100 Leaf Max. Retraction 20 Leaf Pair No. Leaf Width [cm] Series 1 Planning CT 2.0 B31f Leaf Max. Overtravel 20 cm Leaf Max. Separation 20 0.5 cm 05 Shop Siee Default Rectangular Field Size 0.5 X-Min -5 Contour Geometric X-Max 5 0.5 Interpol 0.5 Y-Min -5 10 0.5 Y-Max 5 0.5 12 11 Overall Width (Sum) 40 cm RT Navigator Findings OK Cancel Structures POI Name Type Note: Data must be entered on Linac Configuration and MLC Configuration Tabs. To note on Treatment plans: • Load and save treatment plans, change the plan label, and select the treatment machine and the energy level of the radiation. • Only treatment plans that are created with MM RT Image Suite can be loaded and edited. • After editing a treatment plan in an application other than MM RT Image Suite, this treatment plan cannot be loaded. • Currently, only photon energy type is supported. SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Patient Marking and Contouring: 1. If your workflow includes setting an Isocenter with Patient Marking and Contouring (Auto or Free Hand), these workflows can be done prior to Beam Placement. Note: Beam Placement can calculate SSD (Source to Surface Distance) only if the Body/Skin/External structure is contoured. Beam Placement Workflow: The photos in this demonstration are based on creating an Isocenter with Patient Marking and performing an External Contour. MM RT Image Suite MM RT Image Suite 3 MA -44 1 Punting CT 2.0 8391 SPF871.7 1 Planning CT 20 8311 Contouring Structure Set_1 UNAPPROVED Series 1 Planning CT 2.0 B31f O Eran Contour Interpol .. m Create Crop Margin Structure contours RT Navigator Findings Structures POI Name Type CT Isocenter ISOCENT ... 1. Navigate to the Beam Placement tab in the Navigator Panel. MM RT Image Suite Beam Placement Plan Label + Beam Isocenter [cm] RT Navigator Findings Structures POI Name Type CT Isocenter ISOCENT ... Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 2 of 13 Healthineers 2. Select the + sign. to create a New Plan. Name the Plan accordingly. MM RT Image Suite Beam Placement Plan Label Create New Plan Beam Isocenter [cm] 3. Select the appropriate Treatment Machine, Beam Energy, and check the confirmation box. New Plan ? X Create from Template None Plan Label Whole Brain Lats Treatment Machine Demo Machine Beam Energy 6 MV Photon I confirm that the treatment isocenter and field position will be verified prior to the first treatment. OK Cancel 4. Create a New Beam by selecting the + sign. MM RT Image Suite Q. + 3 IMA ~58 SP F901.0 Beam Placement 1 Planning CT Plan Label Whole Br ... Create New Beam Beam Isocenter [cm] i Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 3 of 13 Healthineers 5. You can rename the Beam here. MM RT Image Suite Q + Beam Placement Plan Label Whole Br ... + Rt Lat + Beam Isocenter [cm] 0.00 y -16.00 z -90.10 6. The system will arbitrarily drop the beam. Right-mouse click on the beam, and this will provide the option to move the beam to a specific location. 3IMA-38 SP F901.0 1 Planning CT 2.0 B311 SPA1595 1 Planning CT 20 B311 Demo Machine Whole Brain Lots Structure Set NAROOTED SAD - 100 cm SSD - 81.05 cm Gartry - 0º Table -0" Colimator - 0* CT Isocenter X1 0-5 cm, X2 - 5 cm Move Nudge Auto Hide BLD Y1 -5 cm, Y2 . 5 cm Beam Deam Move Beam 3 IMAn a. FRM n a. SP LO.O 1 Planning CT 2.0 B31f 3 IMAn.a. FRM n.a. SPA160.0 Planning CT 2.0 8311 LA 4648 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 4 of 13 Healthineers 7. Select the specific location for the Beam Isocenter. MM RT Image Suite Q + 3 IMA ~45 SP F873.8 Plan Label Whole Br ... + m - 1-Planning CT 2.0 B31f Rt La Lt Lat Rename Delete Beam Beam Isocenter [cm] Copy Beam -0.73 y -24.25 z Copy Beam Opposed Set Beam as Opposed to Source to Surface Distance: Move Beam Isocenter Body Brain Nudge CT Isocenter RT Navigator Finding 3 IMAn.a. FRM n.a. SP R7.3 1 Planning CT 2.0 B31f 8. If no preconfigured point/structure is available, with the Move Beam icon selected, left mouse click on the Beam, and manually drag it to the desired position. Note: Multi-isocenter plans are not possible. 3IMA-58 SP F901.0 Planning CT 20 8311 SPA159.5 1 Planning CT 2 Demo Machine Whole Brain Lots Structure Set_1 UNAPPROVED SAD . 100 cm SSO - 81.05 cm 5cm Body Gartry - 0* F Brain Table - 0" SL min Colimator - 0º 350 50 CT Isocenter X1 0-5cm, X2 - 5 cm Move Auto Beam Chape Collimator Y1 -5 cm, Y2 - 5 cm Move Beam 3 IMAn a. FRM n.a. SP LO.0 1 Planning CT 20 B311 5cm SL min 3 IMAn.a. FRM n.a. SPA160.0 1 Planning CT 2.0 8317 Sem LA SL mi Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 5 of 13 Healthineers 9. With the Move Beam icon selected, you can rotate the Beam to the desired angle and turn the Table Base. 1 Planning CT 2.0 B311 1 Planning CT 20 B311 Derto Machine Whole Brain Lats Structure Sel_1 SAD = 100 cm SSD - 92 24 cm Gantry . 270" Table - 0" Collimat or - 0" CT lsocenter X1 .- 5 cm, X2 = 5 cm Y1 =5 cm, Y2 - 5 cm 3MANA FRM nA. 1 Planning CT 20 8311 3IMAnA. FRM n.a. SPA2425 1 Planning CT 20 8311 270 10. The system will also Auto Shape to a contoured structure. Select the Auto Shape icon on the toolbar. 3 IMA-45 SP F873.8 1 Planning CT 2.0 B31f SP R6 8 1 Planning CT 2 0 B311 Derno Machine Whole Brain Lot Structure Set_1 UNAPPROVED SAD - 100 cm SSO - 32:24 cm 5cm Body Gartry = 270* IF Brain Table - 0" SL min Collimotor - 0" 50 OSE T Isocenter X1 =- 5 cm, X2 = 5 cm Y1 :5cm, Y2 - 5 cm Automatically Shape Beam 3 IMAn a. FRM n.a. SP R7.3 1 Planning CT 2.0 B31f P 3 IMAn.a. FRM n.a SPA2425 1 Planning CT 2.0 8311 R L min 46:49 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 6 of 13 Healthineers Note: A Margin can be placed around the structure or around an excluded structure. Auto Beam Shape ? X SP R6.8 1 Planning CT 2.0 B311 Demo Machine Whole Brain Lats Structure Set_1 Rt Lat UNAPPROVED SAD = 100 cm SSD - 92.24 cm Body Gantry = 270" Structure Brain Brain Table = 0' Collimator = 0' Margin 1.5 CT Isocenter X1 = - 10.58 cm, X2 = 10.84 cm cm ¥1 - 8.5 cm, Y2 - 8.5 cm Use Block Mode Exclude Structures Margin 0.0 cm Ocm OK Cancel R 4644 Move Nuage 0 + Collimator 11. If the MLC pattern is not in the desired location, use the Nudge Beam icon. Left mouse click and hold, the resulting circle can be used either inside or outside to move the MLCs. Body Brain CT Isocenter Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 7 of 13 Healthineers 12. If no other changes are needed, the resulting image shows the completed Beam. In the Navigation Panel, the SSD is indicated. Note: The SSD will only show in the Navigation Panel if a single beam is created. SSDs will also be displayed on the DRR image. MM RT Image Suite Q + Plan Label Whole Br ... Rt La Beam Isocenter [cm] 0.73 -24.25 z -87.3 Source to Surface Distance: 92.24 cm 13. If a Parallel Opposed Beam is desired, right mouse click on the Initial Beam and select Copy Beam Opposed. If a non-opposed beam is preferred, start at step 4 to add another beam. Note: multi-isocenter plans are not possible. MM RT Image Suite Q. + 3 IMA SP F8 Plan Label 1-Plan Whole Br ... Rt Lat Rename Delete Beam Beam Isocenter [cm] Copy Beam -0.73 y -24.2 Copy Beam Opposed Set Beam as Opposed to Source to Surface Dista Move Beam Isocenter 14. A pop-up box will appear for MLC verification. Opposed Beam AF X Beam shape might not correctly cover the target region. Check the beam shape of the created opposed beam. OK Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 8 of 13 Healthineers 15. Right-mouse click to rename the Beam. MM RT Image Suite Q + 3 IMA ~45 SP F873.8 Plan Label Whole Br .. + 1 Planning CT 2 O Rt Lat o Rt Lat_Opposed Rename Beam Isocenter [cm] Delete Beam x -0.73 y -24.25 Copy Beam Copy Beam Opposed Source to Surface Distance: Set Beam as Opposed to Move Beam Isocenter 16. With two beams, the SSD will not display in the Navigator Panel but is documented on the DRR Image. MM RT Image Suite MM RT Image Suite @ + Plan Label Whole Br ... SP R7 6 1 Planning CT 20 B311 O Rt Lat structure Set_1 Plan Label Lt Lat Whole Br .. + UNAPPROVED SAD. 100 cm SSO - 92:38 cm Beam Isocenter [cm] Scm Body Outry. 90* Rt Lat x -0.81 y -23.87 Z -87.20 FF Tatie - O' L min Colmat or - 0+ Lt Lat Source to Surface Distance 350 Ct locerter xt =- 5 cm,X2 - 5 cm V1 .5cm,Y2 . 5 cm Beam Isocenter [cm] i RT Navigator Planung CT 20 821 X -0.73 y -24.25 z -87.38 Source to Surface Distance: cm PIMAna FRMAA. Plang CT 20 8211 Tools Expert Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 9 of 13 Healthineers 17. To create a DRR for export to the planning system, select Hide BLD (Beam Limiting Device). Planning CT 20 8311 Dermo Machine Whole Brain Lots Structure Set_1 UNAPPROVED SAD - 100 cm SO - 92.21 cm o DE Body Brain Move Nudge AUTO Hide BLD Colimator - 0" Beam Beam Shape >>Hide Beam Limiting Devices CT Isocenter X1 -- 10:58 cm. X2 = 10.85 cm ¥1 . 8.5 cm, Y2 - 8.5 cm 10cm 4644 Nudge Colimator Create Beam Template 1. If the above beam configuration is a commonly used arrangement, a Beam Template can be created to streamline the workflow. In the Navigation Panel, select the + to create a Plan Template. MM RT Image Suite 3 IMA ~44 SP F872.0 Plan Label 1.Planning CT 2.0 Whole Br ... O Rt Lat +Create Plan Template O Lt Lat R Beam Isocenter [cm] x -0.81 -23.87 -87.20 Source to Surface Distance: cm 11 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 10 of 13 Healthineers 2. Select New Template and name accordingly. Plan Templates ? X Template Name Whole Brain Lats_Template1 + New Delete Template Create Plan Template OK Cancel 3. The next time this beam arrangement is needed, open a New Plan and select the Create from Template dropdown. New Plan X Create from Template None None Sel Plan Label Whole Brain Lats_Template 1 Treatment Machine Demo Machine Beam Energy 6 MV Photon I confirm that the treatment isocenter and field position will be verified prior to the first treatment. OK Cancel 4. Rename the Plan accordingly. New Plan Create from Template Whole Brain Lats_Template1 Plan Label Whole Brain Lats Treatment Machine Demo Machine Beam Energy 6 MV Photon confirm that the treatment isocenter and field position will be verified prior to the first treatment. OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 11 of 13 Healthineers 5. The system will then create the templated beams. Note: The MLC pattern and the Beam Isocenter will not be saved from the template. Use the above steps to configure each. MM RT Image Suite 3 1MA -44 SP F8720 Man Label whole Br ... SPRZO : planning CT 20 8717 Ceno Machee Kx Lat UNAPPROVED SAD - 100 0M Beam Isocenter [om] x 0.81 y 2387 2 07.20 F min Source to Surface Distance: cm 350 Ct isocerta V1 .5cm,Y2 - 5 cm V RT Navigator Findings 1 Planning CT 2.0 8211 Structures POI Name Type CT hocenter DOCENT MAna FRMna SP A233 7 1 Planning CT 2 0 8311 Tools L SL m 6. Save all work once completed. The following created series must be sent to the TPS (Treatment Planning System) or OIS (Oncology Information System) for dose calculation: • CT series • RTSTRUCT: contains all created structures • RTPLAN: contains all the data needed for the dose calculation • RTIMAGE: contains the DRR Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 12 of 13 Healthineers Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/11/2023 | HOOD05162003362947 Page 13 of 13 Healthineers