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MM RT Registration and Re-Contouring

MM RT Registration and Re-Contouring

Re-Contouring | Registration | Deformation Vectors & Contours Adaptation | Dose Evaluation.

cwt SIEMENS Siemens Healthineer OSWA.VlA03 server OSWA-VlA03 HNO 2.0 B31f HNO B31f 2.0 B31f RO_PABLO Replan_Reg_Dose_RTIS RO PABLO Replan Reg_Dose_RTlS RO_PABLO_Replan Reg_Dose_ RO PABLO_Replan_Reg_Dose_ O_PABL PABL RTIS RTIS RO PABLO Replan HNO B31f • 1/1/1961 M a4dc80d591 1 1196 Ma4dc80d591 / 1/1/1961 M a4dc80d591 Translation ration Jhumbnails 'Thumbnails IThumbnails JThumbnails ILThumbnails nThurnbnails Patient Browser Thumbnails Couch Surface Jhumbnails MM RT Image Suite @ + MM RT Image Suite sp I sp I sp R O_ p O _ 069.7 sp FIOOI .5 . SPF1001.5 CT. 5/31/ a4dc80d591 Ad aptiv•_ HNO 2.0 B31t sp F1002.5 100 1.4 300 1.0 100 . sp . SPF10016 SPF Iuto 18.0 SPF1002S 100 SP SO SP .5 2.0 B31f Adaptiu•_ HNO 50 20 e 2.0 B31f Prior_HN0 20 2.0 20 831t 20 B31f 83 If 831f_ 83 IL 831' so D ed Deformed 831t_ ed_Magnitud• Browse CT studies (41) Read (159) Adaptive _HNO 2.0 2.0 B31f_ Adaptive_HNO Current Structure Set Overview Prior_HNO 2.0 RTA02 P Adaptive_HNO 2.0 B31f Adaptive_HNO 2.0 Adaptive _HNO 20 20 Adaptive_HNO 2.0 Adaptive_HNO 210 Adaptive_HNO 2.0 B31f Ad a ptiue_ Ad a ptiue_H NO Deformed Patient Marking Registeration Registration Structure Set Label StructuresSet LabeI . prior_HNO 2.0 B31f_ StructureSet 1 KÖRPER KORPER O ROICircle Dose Level Preset Dose Level preset Couch Intenor Adaptive • Couch Couch fi Adaptive_HNO 20 B31f Prior_HNO 2.0 B31f Adaptive_HNO 2.0 B31f Prior_HNO 2.0 B31t Couchlrterior . Couchlrterior Couchhntericr Struktursets StructureSet 1 48.0'80.0 480 180.0 : Current Current Couchhterior Couchü-ierior Couchhnterior crvl Couthlnterior RTEFlxED.30 Lunge li. Lunge re 20 23 25 50 18.4 . Couchlrterior Prior_HNO 2.0 B31f Couch Surface Registration_Copy2 R ge Regi 2.0 20.0 Auto Registraticn_ RTE.FlXED.3D 48.0'800 prior Eclipse Auto Regis Auto Registration_Copy1 Contouring Series Edit Registration for: Edit Registration for Current Current PTV 1 GTV 3 25 Default Preset Auto ægistration_Copy1 Print DICC* DICOM Adaptive Eclipse sen 1/22/2015 _Copy1 Copy' Auto : CouchSurface Couch Surface _ Copyl Edit Registration for Edit R Edit Registration for: 600 CT, 4126/2013 CT, 5/31/2013 CT. 5/31/2013 CT, 4/26/2013 CT. 4/26/2013 O ispl•y Sp KORPER Name Type (cm) Adaptive_HNO 20 B31f Adaptive_HNO 2.0 B31f Adaptive _HNO 20 24.0 40.0 480 180.0 240 40.0 2.0 40.0 600 CT, 5131/2013 pnor HNO 20 prior_HN0 20 prior Eclipse Adaptive Eclipse Display Freehand en (Erwachse...r) (Erwachse...) (Erwachsener) (Erwachse... CTV 3 077 0 CTVI CTV 2 (Erwachsen._. (Erwachse.._. (Erwachse.n.r. (Erwachs.n._. (Erwachs...r) 11 Series Structure Sets CT. 5/31/2013 24.0 400 •a CTVI (5 results, 14 : ICTV2 CTV1neu PTVI neu CTV1 neu 472 cm prior HNO 20 B31f prior H C) My elon Myelon Display Mode CTVI neu CT VI neu PTVI neu PTV2 CIGTVI Structure Set Label Structure Set 1 •10cm •IOcm Adaptive_HNO 2.0 : CTV2 Lunge Display MOde I Patient Patient Name Study Date Tune - Date of Birff CTV 2 GTV 3 CTV 3 30.00% • GTVI Structureset 1 CTV 3 GTV 3 GTV 1 120 Create Registration Reg •0.5 StructureSet 1 KÖRPER KORPER Auto Puto 60 8/1/2012 144528 9/3/1911 •IGTVI GTV 1 PTV2 GTV2 Preview on;o Isodose _HNO 20 ISOdose Findings KORPER KÖRPER 28.0 6.0 Auto Registration_Copy : GTVI • Couchlnterior Navigator Create Contour Ref' ed Colorwash MM Image S _ RO Laser w Marker CTV CTVI 5/31/2013 9/3/1911 Lunge 100 From Edit Registration for Display Algebra Data Management Colorwash KÖRPER CT, 41261 opt. Lunge li. Lunge re R Lunge re. 28.0 100 600 Gy 2.0 28.0 600 Gy MM RT Image S. _te MM RT Image Suite MM RT Image S. _e RO Laser wo Marker CT. RTSTRUCT.- CT, RTSTRUCT.- CT, RTSTRUCT.. CT. RTSTRUCT„. 8/1/2012 144528 9/3/1911 Display Colorwash R re. R ge Prior HNO 2.0 B31f Deformed Prior_HNO 2.0 B31f_Derormed Adaptive_HNO 2.0 B31f Adaptive_HNO 2.0 B31t To From so Myelon +0.5 Display _HNO Dose R Lunge re. RTIS CT. REG. RTST„ 5/31/2013 5/31/2013 0828:50 111/1961 oo R unge ll. R ungel. R Lunge re. R unge Nunge re. Name HNO 2.0 _HW 20 _HNO 20 _HNO 2.0 B31t CT, 4/26/2013 Myelon Lunge re Lunge re. Nudge ARIA RadOnc prior Eclipse • ZO • Adap6ve_HNO ZO Adaptive _HNO 2.0 Adaptive_HNO HNO 2.0 B31f 2.0 B31f SO Sp MM RT Image REG, B31f Myelon Lunge re R Lunge re. Struktursets Structure Sets 83 If [31 • Adaptive_HNO 20 POI :tures Rigid Deformable Myelon +0 S Myelon •O S Myelon S0 10 cm 1 Ocm 100m "Ocm f Ocm 5 cm CT, 5/31/2013 CT. 5/31/2013 CT, 4/26/2013 CT, 4126/2013 'Ocm 1 Ocm CT 4/26/2013 11 19 10 CT. 4/26/2013 ICIcm IOcm "Ocm 16 cm HNO 2.0 _HNO 20 PTV2 LaserOrigin RT••02_Pl_Kopf_HNO (Emachse... (Erwachsener) (Erwachse... (Erwachse...) Myelon •0.5 "-felon 4/26/2013 5/31/2013 CT. 4/26/2013 (Erwachs...r) +0 1 Ocm Windowings Type Name GTV1 936988 Parotis 10 cm 1 Ocm IOcm I Ocm "Ocm RTA02_Pl Kopf_HNO (Erw RTA02_Pl Kopf_HNO CT, 4/26/2013 Findings Parotis li. Myelon •O S Myelon re, Findings Parotis re. KORPER Welon +0.5 EXTERN/ Parotis re. Parotis re Parotis re , Findings PTV3 opt. Lunge li. PTVI— Drag drop data from series navigator POI Rigid Deformable ISO ISO Hypopharynv CTV1neu PTV1neu SO Hypopharynx POI CTV 1 I re AVOIDAN Align LaserOrigin Reset POI Name a Type Type PTV1neu SO Hypopharynx GIV TablerOrigin LaslerOrigin Laser Origin TableOrigin Instances Name CTV2 PTVI crv :tures tures POI GTV 1 G TV Name Type ISO Hypopharyn• Image SL min Vectors 50 2.0 20 SL SO SLID PTV 1 SO Hypopharynx PTV2 LaserOrigin SL 1.0 Structures and POIS are copied in accordance to the currently visible registration between the two image TableOrigin SL min [31 Rotation 35.0 35.0 350 cnv'l CTVI PTV2 CTV 2 350 Name SL min SL min • L min KÖRPER a Type EXTER._ Type CURRENT 19 LaserOrigm LaslerOrigin SL 1.0 CTVI GTV 1 TableOri#n so EXTER... 19 49 35.0 Adaptive_HN0 2.0 Adaptive _HNO 20 CTV 3 CTV 2 PTV2 GTV1 GTV 3 p TV EXTER... EXTER- opt 16 19 so sp 31f_ 3D 23 3D Table Origin SLI.o: Lunge Nudge Par. Scale Seg Segment 350 35.0 SLI.O Rogistration CTV 3 CTV 1 GTV 1 crv PTV2 opt PTVI PTV2 PTV3 40.0'80% 50.00% 50.00% Freehand Contour by Value PTV3 opt 3 SO 3 so p TV opt. CTVI Freehand by 3D series. Double-click to rename a copied structure or POI. Lunge Freeh•nd CTV2 GTV p TV Nudge PTVI opt opt PTV2 opt HNO 20.0 Adaptive _ Adaptive_HNO HNO 35.0 2.0 B31fl Prior_HNO 2. prior_ Prior_HNO 2.0 83 HNO 2.0 83 f HNO 2.0 83 HNO 2.0 Prior_HNO 2.0 B31f Adaptive_HNO 2.0 B31f CIV Adaptive _ 3D Freehand Rotate HNO 20 Adaptive_HN0 20 2 Nudge PTV2 opt pTVl opt. p TV A d O 20 B3-1f 20 93-1f 2.0 20 2 50 93-1fl prior_HN0 Adaptive _HNO 2.0 1.5 HNO 2.0 Re S prior_HN0 prior_HN0 20 I prior_HN0 I prior_HN0 20 prior_HN0 2.0 f_Deformed I prior_HN0 HNO 2.0 B31t 2.0 B3 2.0 B3 f 2.0 f 1.4 prior_HN0 20 20 B31f CTV2 Adaptive_HNO Adaptive_ Adaptive_HNO 20 B31f 2.0 B31f_ 2.0 B31f Adaptive_HNO 2.0 B31f Prior_HNO 2.0 B31f 28.0 2.4 35.0 31f_ 231f_ enior_HNO 2.0 B31f_Derormed Prior_HNO 2.0 B31f Prior_HNO 2.0 B31f_Derormed Freehand 1.5 Deformed Prior_HNO 2.0 B31f_Deformed Prior HNO 2.0 B31f Deformed a4dcßOd5g1 HNO 20 Adaptjve_HNO 2.0 prior_ 25 1.5 1.4 1518 20 35 1519 100 Adaptive_HNO 1.4 68.0 Deformed 1.5 2.5 0K Cancel Tools Print Adaptive_ Adaptive _ 23 prior_ prior _ 31f_ Deformed Pnor_HNO 2.0 CURRENT CURRENT e. 100m 1-5 25 19 1.4 2.4 25 50 2.0 Adaptive_HNO 20 Adaptive_HNO 20 B31t prior_HNO 2.0 B31t_Detormed 20 B31t_Detormed Adaptive _ B3 Deformed HNO 2.0 Tools 1.5 2.0 2.4 1.4 25 Tools Hide Syn Align Full Text Hide Lines Text Full Text Hide Reset T i 1-5 Timepo... Align 5 cm 'Ocm Graphic Lines 10 cm 10 cm 1,0cm 10 cm 1 Ocm 10 cm Full Text JPG Hide Hide Syn&' Syn Align Lines 1 Ocm 1 Ocm Gr•phio Lines n SL min t' SL min 10 cm 1 Ocm 5 cm 10 cm SL min SL• min • SL min min 5cm 5crn 5 cm 10 cm "Ocm 1 Ocm SL min SCI o Syn Align Full Text Hide SLID 1.5 "SL 10 Edit Print p, int 3 SO SO 3 SO SO 10 cm 1 Ocm 1 Ocm 10.100 JPG Syn &aphis Lines so I c Edit Expc•t Exp-art 350 SO 50 so print Undo 3D The selected data opened so Image Undo 3 so 60 350 35.0 240 10 Redo min L min L min 1 Ocm IOcm I O cm 10 cm min 1 Clcm 50.00% SL min -ESL min L min SL LIO L 10 so 19 Edit so 20 JPG 350 -35 print 350 15219 1521 1519 14:46 Edit Export 14:46 Print print Undo Print Prior Export Redo 50

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