clinical practise - breast

Question 1

tattoos:
most stable position

Answer 1

ant tattoo:
sternum midway length between clinical breast tissue

Question 2

Setup Workflow:
1. Get the patient into setup position

Answer 2

1.set your scale
2.align ant tattoo (move px up and down bed)
3.straighten px
4.align lat tattoos(move and rotating px)
5.set up position (px is now in CT position)

Question 3

Setup Workflow
2. Get the patient into iso position

Answer 3

1.set up position
2.set your midline SSD
3.perform move (lat and long)
4.px now is treatment position

Question 4

Setup Workflow
3.Physical verification of the setup (in room)

Answer 4

1.tx position
2.verify SSD at iso (1cm tolerance)
3.Verify Med/Lat border and SSDs(med/lat
/scf)
4.image verification/treatment

Question 5

SGRT

Answer 5

still need to set scale and align med tattoo
still need to confirm ssd and coverage

Question 6

breathhold
used for

Answer 6

left breast and IMN patients

Question 7

breath hold is accomplished

Answer 7

SGRT or RPM (realtime position management)

Question 8

breath hold: SGRT

Answer 8

SGRT uses 2 surfaces to track:
free breathing (during set up)
breathehold (treatment) surfaces

Question 9

breathe hold : RPM

Answer 9

uses a physical block to track
placed before moves to iso

Question 10

breathe hold : RPM

Answer 10

uses a physical block to track
placed before moves to iso