Consolidated worklists in MOSAIQ

[Lori Brown]

Hi All,

 

Our company is considering consolidating our 5 Dosimetry QCL’s (one for each of our 5 centers) into one central list so that we can all work together more efficiently.  I am told that many companies are doing this now, so if anyone out there has any advice to help make this a smooth transition  I would appreciate any comments.

 

Thanks in advance for your replies,

 

Lori

 

 

 

Lori Brown, R.T.(R)(T), CMD

Senior Chief Medical Dosimetrist

Radiation Oncology Services - Newnan

211 Millard Farmer Industrial Blvd.

Newnan, Georgia  30263

678-553-5685

lbr...@rosonline.net

 

Compassion and excellence in all we do and for all we serve.

 

 

 

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[Candy Zanelli]

We have what we call a Global-Dosimetry QCL.  All dosimetry items from our 3 centers are assigned to this list.  The dosimetrists place their initials in the comment line when they pick up the case.  If the case isn’t picked up within 24 hours it will get assigned to someone depending on their current workload.

 

We have 2 dosimetrists in one location and 1 at each of the other 2 sites.

 

Candy Zanelli, CMD

Lead Medical Dosimetrist

Shields Oncology Services

700 Congress Street, Ste 101

Quincy MA 02169

 

o. 617.376.6400

f.  617.471.6211

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[Angela Height]

Alternatively, when a dosimetrist picks up a case, he/she can "flip" the QCL item to their individual staff QCL, then you know all the cases left on the Dosimetry QCL are not assigned yet.

 

We use our staff QCLs as our worklist for new and boost plans.

 

Angela

St. Joseph Mercy

Ann Arbor, MI

>>> Candy Zanelli <CAL...@shcpo.Shields.com> 4/19/2012 7:40 AM >>>

[Pfund,John]

Angela’s method looks like a good one to track which dosimetrist is taking a plan.   A related question:

 

We’ve seen examples of an “electronic white board” for the purpose of tracking all patients through sim/planning/startup process, but they were separate systems outside of Mosaiq.  Does anyone have a good way to do this using multiple QCL’s, and display it in a user friendly way?  It suppose it could be done with a Crystal report  that would display a list of patients and selected QCL’s, their status and who is responsible.   It would be nice if there was a patient clinical status of “Planning” (in addition to New, On Tx and Complete) that could identify these patients.

 

Has anyone done something along these lines? 

 

I did talk to Mosaiq, and it sounds like there are some new QCL features coming in 2.5 that will help.

 

John Pfund, MS

Sanford Health

Roger Maris Cancer Center

Fargo, ND

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[Yevgeny Fridkin]

Hi all. Did anybody get accepted in this trial without using all those couch kicks and how did you do it?

Thank you

 

I lbr...@rosonline.net

 

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[Xiliang Nie]

I did two patients. But the plans are very ugly. We prescribe to 92%. The dose is very hot inside. I believe it is over 120%. I can't use those strange the beam orientations since my machine (Elketa prohit all those couch kick position). Looks like it is not beam orientations related after I tried the different beam orientations position. My suggestion is just use all beams with 20 degree interval since no optimization beam to avoid the hippcampus.

 

Xiliang

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[Zhang, Shaomin]

Is it RTOG 0933?

We got accepted by RTOG 0933 - A PHASE II OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION
. I  did three patients so far for this Protocol. I tried different beam angles but it seems the recommended one with couch kick got best results. Since need to control Hipocampus D100% < 9 Gy, Dmax <= 16 Gy, plan is hotter than normal and need more MUs for treatment (9 beams and between 1500 mu to 2000 mu). It seems uggly but patient performs well after the treatment. See attachment for dose distribution.

 

Have a nice day!

 

Shaomin Zhang

CMD

Abington Memorial Hospital, PA

 

---

From: pinnacl...@googlegroups.com [pinnacl...@googlegroups.com] On Behalf Of Yevgeny Fridkin [yevfr...@yahoo.com]
Sent: Wednesday, May 09, 2012 5:56 PM
To: pinnacl...@googlegroups.com
Subject: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

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[Xiliang Nie]

What is the prescribed dose for your treatment?

 

Xiliang

[Yevgeny Fridkin]

300x10

From: Xiliang Nie <xilia...@gmail.com>
To: pinnacl...@googlegroups.com
Sent: Thursday, May 10, 2012 4:13 PM
Subject: Re: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

What is the prescribed dose for your treatment?

 

Xiliang

On Thu, May 10, 2012 at 12:31 PM, Zhang, Shaomin <SZh...@amh.org> wrote:

Is it RTOG 0933?

We got accepted by RTOG 0933 - A PHASE II OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION. I  did three patients so far for this Protocol. I tried different beam angles but it seems the recommended one with couch kick got best results. Since need to control Hipocampus D100% < 9 Gy, Dmax <= 16 Gy, plan is hotter than normal and need more MUs for treatment (9 beams and between 1500 mu to 2000 mu). It seems uggly but patient performs well after the treatment. See attachment for dose distribution.

 

Have a nice day!

 

Shaomin Zhang

CMD

Abington Memorial Hospital, PA

 

From: pinnacl...@googlegroups.com [pinnacl...@googlegroups.com] On Behalf Of Yevgeny Fridkin [yevfr...@yahoo.com]
Sent: Wednesday, May 09, 2012 5:56 PM
To: pinnacl...@googlegroups.com
Subject: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

Hi all. Did anybody get accepted in this trial without using all those couch kicks and how did you do it?

Thank you

 

I lbr...@rosonline.net

 

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[Max]

I did several cases with VMAT. It is find with the Max point dose
around 4200. No couch kick out.

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[Xiliang Nie]

You prescribed to 100% or 9x some %?

 

Xiliang

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[Max]

90% WITH PTV MEAN

On 5/10/12, Xiliang Nie <xilia...@gmail.com> wrote:
> You prescribed to 100% or 9x some %?
>
> Xiliang
>
> On Thu, May 10, 2012 at 1:15 PM, Yevgeny Fridkin
> <yevfr...@yahoo.com>wrote:
>
>> 300x10
>>

>> *From:* Xiliang Nie <xilia...@gmail.com>
>> *To:* pinnacl...@googlegroups.com
>> *Sent:* Thursday, May 10, 2012 4:13 PM
>> *Subject:* Re: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE
>> DURING WHOLE BRAIN RADIATION
>> **

>> What is the prescribed dose for your treatment?
>>

>> Xiliang**
>> On Thu, May 10, 2012 at 12:31 PM, Zhang, Shaomin <SZh...@amh.org> wrote:*
>> *

>>
>> Is it RTOG 0933?
>> We got accepted by RTOG 0933 - A PHASE II OF HIPPOCAMPAL AVOIDANCE DURING

>> WHOLE BRAIN RADIATION**. I did three patients so far for this Protocol.

>> I tried different beam angles but it seems the recommended one with couch
>> kick got best results. Since need to control Hipocampus D100% < 9 Gy,
>> Dmax<= 16 Gy,
>> plan is hotter than normal and need more MUs for treatment (9 beams and
>> between 1500 mu to 2000 mu). It seems uggly but patient performs well
>> after
>> the treatment. See attachment for dose distribution.
>>
>> Have a nice day!
>>
>> Shaomin Zhang
>> CMD
>> Abington Memorial Hospital, PA
>>

>> *From:* pinnacl...@googlegroups.com [

>> pinnacl...@googlegroups.com] On Behalf Of Yevgeny Fridkin [
>> yevfr...@yahoo.com]

>> *Sent:* Wednesday, May 09, 2012 5:56 PM
>> *To:* pinnacl...@googlegroups.com
>> *Subject:* [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING
>> WHOLE BRAIN RADIATION
>> **

>> Hi all. Did anybody get accepted in this trial without using all those
>> couch kicks and how did you do it?
>> Thank you
>>
>>
>> I lbr...@rosonline.net
>>

>> ****

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[Xiliang Nie]

I did 92% in our patients. Thanks.

 

Xiliang

[Xiliang Nie]

Did you compare your DVH with the publised one? Did you get close DVH as they did? I couldn't get the close DVH as the publised one

 

Xiliang

On Thu, May 10, 2012 at 1:43 PM, Max <longh...@gmail.com> wrote:

[Max]

I think the 0933 just required the PTV DVH D98% >=25Gy, D2%<= 37.5 Gy.
D90 >= 30Gy. The other OARs requirements are easy to reach with VMAT.

[Xiliang Nie]

The problem is D102%<=37.5Gy. It is hard to achieve this with the hippcampel<17Gy.

 

Xiliang

[Max]

I think you need change the weight to push pinnacle to go through the
local optimization to another one. I just give you an example for
optimization. TX trial is VMAT.

[Mark Sanders (ADHB)]

Hi Group,

 

I can’t find any mention is the RTOG 0933 protocol of the patient’s head position for immobilization? It seems to me that the very specific suggested couch kick and gantry angles become slightly meaningless without also having a standard head position stated (say flexed with baseline vertical, or neutral). Section 6.3.1 is bit short on detail here.

 

If anyone has managed to meet the Protocol DVH objectives they might want to also share this in their results.

 

Regards

 

Mark Sanders

 

 

 

 

---

[Xiliang Nie]

My experience is that we don't need so many couch kick as publised. Just normal gantry angle with 9 beams is ok to achieve the RTOG requirements.

 

Xiliang

[Zhang, Shaomin]

The one I attached before was prescribed to 95%. I can meet all numbers. Dmax is betweet 35 to 36 Gy.

 

Shaomin

 

---

From: pinnacl...@googlegroups.com [pinnacl...@googlegroups.com] On Behalf Of Xiliang Nie [xilia...@gmail.com]
Sent: Thursday, May 10, 2012 4:13 PM
To: pinnacl...@googlegroups.com
Subject: Re: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

[Zhang, Shaomin]

You have to change accordingly based on your machine. When I followed the protocal angels, for examlpe for Siemens ARTISTE, I changed beam angles to couch/gantry:   320/30, 30/310, 30/265, 315/180, 344/49, 344/137, 350/104, 90/319, 276/161

 

Shaomin

 

---

From: pinnacl...@googlegroups.com [pinnacl...@googlegroups.com] On Behalf Of Mark Sanders (ADHB) [MSan...@adhb.govt.nz]
Sent: Thursday, May 10, 2012 5:42 PM
To: 'pinnacl...@googlegroups.com'
Subject: RE: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

[Xiliang Nie]

i think it is not necessary to do so many of couch kick since there is no optimaztion beam orentations to avoid the hippcampel

[Yevgeny Fridkin]

I changed the collimator angle so mlc would go along with hyppocampal and it seems working

From: Xiliang Nie <xilia...@gmail.com>
To: pinnacl...@googlegroups.com

Sent: Friday, May 11, 2012 10:02 AM
Subject: Re: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

i think it is not necessary to do so many of couch kick since there is no optimaztion beam orentations to avoid the hippcampel

On Fri, May 11, 2012 at 6:54 AM, Zhang, Shaomin <SZh...@amh.org> wrote:

You have to change accordingly based on your machine. When I followed the protocal angels, for examlpe for Siemens ARTISTE, I changed beam angles to couch/gantry:   320/30, 30/310, 30/265, 315/180, 344/49, 344/137, 350/104, 90/319, 276/161

 

Shaomin

 

From: pinnacl...@googlegroups.com [pinnacl...@googlegroups.com] On Behalf Of Mark Sanders (ADHB) [MSan...@adhb.govt.nz]
Sent: Thursday, May 10, 2012 5:42 PM
To: 'pinnacl...@googlegroups.com'
Subject: RE: [p3rtp] RTOG 0923 A PHASE III OF HIPPOCAMPAL AVOIDANCE DURING WHOLE BRAIN RADIATION

Hi Group,

 

I can’t find any mention is the RTOG 0933 protocol of the patient’s head position for immobilization? It seems to me that the very specific suggested couch kick and gantry angles become slightly meaningless without also having a standard head position stated (say flexed with baseline vertical, or neutral). Section 6.3.1 is bit short on detail here.

 

If anyone has managed to meet the Protocol DVH objectives they might want to also share this in their results.

 

Regards

 

Mark Sanders

 

 

 

 

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CONTENTS OF THESE DOCUMENTS WITHOUT THE PRIOR WRITTEN CONSENT OF THE
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