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Transitioning to a Markless Set Up:
A guide for a seamless transition.
Nancy Wiggers MD
Northside Hospital Cancer Institute
Atlanta, Georgia
Disclosure:
Northside receives payment from Vision RT as a Center of
Excellence
• Patient Satisfaction
– Lowers patient anxiety in order for patient to focus
on their rest and healing
– No visible marks for others to inquire about
– No constant reminder of hardship they are
enduring
– Offers a worry free treatment. Patient can
continue regular hobbies such as swimming and
exercising
– Great option for patients who are allergic or
sensitive to adhesive
– No rescans or additional imaging due to lost marks
Benefits
4
• Efficiency
– Reduces repeat imaging procedures
– All therapists can see shifts needed at the
same time and confirm correct position
before leaving room
– Reduces excess maneuvering and skin
manipulation
– Simplifies setup procedures
– Eliminates manual shift calculations on
verification day
Benefits
5
• Accuracy
– We are currently collecting data that is expected
to support our experience that AlignRT is more
accurate than a 3 point setup
• Costs
– Eliminates purchase of paint pens and stickers
• Infection Control
– No shared paint pens.
– Eliminates damage to skin from sticker removal
• Marketing
– SGRT along with imaging is the way of the future
– Opportunity to become a leader in this movement
Benefits
6
“I love the fact that if an immobilization device malfunctions then the therapist
can use the information stored in the system to create a new one rather than
have the patient re-scanned and re-planned”
Nancy Wiggers M.D.
“Besides the fact that a markless setup is quicker and more accurate, I also love
the fact that all therapists in the treatment room can see movements needed.
This eliminates the need to talk over patients during our setup procedure”
Linda Hilton RT(T)
Thank you for your time!

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2018 SGRT Community Meeting Atlanta

  • 1. Transitioning to a Markless Set Up: A guide for a seamless transition.
  • 2. Nancy Wiggers MD Northside Hospital Cancer Institute Atlanta, Georgia
  • 3. Disclosure: Northside receives payment from Vision RT as a Center of Excellence
  • 4. • Patient Satisfaction – Lowers patient anxiety in order for patient to focus on their rest and healing – No visible marks for others to inquire about – No constant reminder of hardship they are enduring – Offers a worry free treatment. Patient can continue regular hobbies such as swimming and exercising – Great option for patients who are allergic or sensitive to adhesive – No rescans or additional imaging due to lost marks Benefits 4
  • 5. • Efficiency – Reduces repeat imaging procedures – All therapists can see shifts needed at the same time and confirm correct position before leaving room – Reduces excess maneuvering and skin manipulation – Simplifies setup procedures – Eliminates manual shift calculations on verification day Benefits 5
  • 6. • Accuracy – We are currently collecting data that is expected to support our experience that AlignRT is more accurate than a 3 point setup • Costs – Eliminates purchase of paint pens and stickers • Infection Control – No shared paint pens. – Eliminates damage to skin from sticker removal • Marketing – SGRT along with imaging is the way of the future – Opportunity to become a leader in this movement Benefits 6
  • 7. “I love the fact that if an immobilization device malfunctions then the therapist can use the information stored in the system to create a new one rather than have the patient re-scanned and re-planned” Nancy Wiggers M.D. “Besides the fact that a markless setup is quicker and more accurate, I also love the fact that all therapists in the treatment room can see movements needed. This eliminates the need to talk over patients during our setup procedure” Linda Hilton RT(T) Thank you for your time!