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Online Review

2011 IHE-RO Use Case: Online review. Online Review. Zheng Chang, Ph.D.; Bridget Koontz M.D. Department of Radiation Oncology, Duke University Durham, North Carolina, 27710, United States. 2011 IHE-RO Use Case: Online review. “Online Review” Clinical Motivation / Need.

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Online Review

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  1. 2011 IHE-RO Use Case: Online review Online Review Zheng Chang, Ph.D.; Bridget Koontz M.D. Department of Radiation Oncology, Duke University Durham, North Carolina, 27710, United States

  2. 2011 IHE-RO Use Case: Online review “Online Review”Clinical Motivation / Need Online review now available for planar and volumetric imaging, but • online approval, • adaptive geometricmatch, and • online dosimetric review not available. Treatment now greatly reliant on timely therapy delivery (1), reliable and accurate positioning (2), and understanding of dose consequences of small positioning differences (3), for both SBRT and standard fractionation therapy.

  3. 2011 IHE-RO Use Case: Online review Desirable Features of“Online Review” • Information Share:Information from RTP/Server to Online Review WS • Online Administration: Online Approval • Adaptive Geometric Assessment:Deformable Registration • Adaptive Dosimetric Assessment:Precursor of Adaptive Radiotherapy • Dosimetric Analysis: Accumulated and Individual Session • Reference Guidance:Reference Planar 2D/2D registration available for daily treatment guidance in addition to DRR. Reference can be set based on volumetric imaging

  4. 2011 IHE-RO Use Case: Online review Hypo-fractioned Therapy Workflow Online Review WS RTP WS Server Geometric review with Deformable registration Information Share Volumetric Imaging Online Approval Pt Shift Treatment Dosimetric Analysis and Report Dosimetric Review

  5. 2011 IHE-RO Use Case: Online review Fractionated Therapy Workflow 1ST FRACTION CBCT – planCT Pt Shift Set 2D refKV Patient positioned KV – DRR Match Treatment Online Approval Online Approval 2-nth FRACTION Patient positioned KV – refKV* Match Treatment Online Approval * Option if KV-DRR match did not reproduce shift required for soft tissue match

  6. 2011 IHE-RO Use Case: Online review Thank you!

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