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TRAFFIC LIGHT IGRT
Dr Kanhu Charan Patro
drkcpatro@gmail.com
M-9160470564
What my staffs think?
02/01/19 3
What my wife thinks?
What my friends think?
02/01/19 5
what I do?-Listening to lecture
02/01/19 6
Thinking about my patient
02/01/19 7
IGRT –IMAGE GUIDED RADIOTHERAPY
INTRODUCTION
• We are over burden with huge case load
• Adopted advanced technology
• IGRT is now bread and butter of our life.
• How to use optimally?
Image-Guided Treatment Delivery
Imaging Modalities
Ultrasound
1. BAT
2. SonArray
3. I-Beam
4. Restitu
Video
1.Video subtraction
2.AlignRT
3.Photogrammetry
C-Rad
Volumetric
1.In-Room CT (FOCAL)
2.CT-on-Rails Primatom,
EXaCT
3.Tomotherapy Mobile C-
Arm Siemens (MVCT)
4.Elekta, Varian (kVCT)
Planar
1.EPID
2.CyberKnife
3.Novalis RT
4.Varian, Elekta
ONLINE VS OFFLINE
IGRT- VERIFICATION
WHAT PEOPLE FOLLOW-VERBAL SURVEY?
• Consultants correcting daily
• Registrars do verification
• Weekly review by consultants
• Technologists do the corrections
• First day review by consultants and then by
technologists
• If gross mismatch call the consultants
MAKING SIMPLE
THROUGH MOBILE APP
HOW THE APP LOOKS LIKE
TRAFFIC LIGHT
TRAFFIC LIGHT IGRT
1. FIX THE THRESHOLD
2. PTV WITHIN THRESHOLD
3. GO AHEAD
1. PTV WITHIN MARGIN
2. GO AHEAD
3. INFORM LATER
1. BEYOND PTV MARGIN
2. DO NOT TREAT
3. GET ALERT
OAR DISCREPANCY
ANDROID AND IOS
GETTING IN
• REGISTER YOURSELF
• GET YOUR ID
• GET YOUR PASSWORD
• FORGOT PASSWORD OPTION
• ACTIVATION THROUGH EMAIL
ADDING IN
• ADD PATIENT
• VIEW PATIENT
• DELETE PATIENT
• OPTION OF PATIENT PHOTO
ACTING IN
• DAILY IGRT OPTION
• ADD NUMBER OF TREATMENTS
• X-Y-Z COORDINATE
• Xr-Yr-Zr rotational COORDINATE
• Add image of the day
Sharing in
• If red alert get notification on screen
• Share the total data to email as excel
Future in
• Van -Herk formula PTV calculation
• Approval
• Sync with console
Steps to operate
1. Read the instruction
2. Signup
3. Fill your details
4. Create id and password for yourself and your
physicist/technologist
5. Technologist can add patients
6. Add patient details
7. Add IGRT coordinate error for each day
8. Click the light of the day by pressing the correct button
which fit
9. You can download IGRT details as excel and share
10. If red get pop-up.
HOW THE APP LOOKS LIKE
Thank you

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TRAFFIC LIGHT IGRT ANDROID APP

  • 1. TRAFFIC LIGHT IGRT Dr Kanhu Charan Patro drkcpatro@gmail.com M-9160470564
  • 2.
  • 3. What my staffs think? 02/01/19 3
  • 4. What my wife thinks?
  • 5. What my friends think? 02/01/19 5
  • 6. what I do?-Listening to lecture 02/01/19 6
  • 7. Thinking about my patient 02/01/19 7
  • 9. INTRODUCTION • We are over burden with huge case load • Adopted advanced technology • IGRT is now bread and butter of our life. • How to use optimally?
  • 10. Image-Guided Treatment Delivery Imaging Modalities Ultrasound 1. BAT 2. SonArray 3. I-Beam 4. Restitu Video 1.Video subtraction 2.AlignRT 3.Photogrammetry C-Rad Volumetric 1.In-Room CT (FOCAL) 2.CT-on-Rails Primatom, EXaCT 3.Tomotherapy Mobile C- Arm Siemens (MVCT) 4.Elekta, Varian (kVCT) Planar 1.EPID 2.CyberKnife 3.Novalis RT 4.Varian, Elekta
  • 12. IGRT- VERIFICATION WHAT PEOPLE FOLLOW-VERBAL SURVEY? • Consultants correcting daily • Registrars do verification • Weekly review by consultants • Technologists do the corrections • First day review by consultants and then by technologists • If gross mismatch call the consultants
  • 14. HOW THE APP LOOKS LIKE
  • 16. TRAFFIC LIGHT IGRT 1. FIX THE THRESHOLD 2. PTV WITHIN THRESHOLD 3. GO AHEAD 1. PTV WITHIN MARGIN 2. GO AHEAD 3. INFORM LATER 1. BEYOND PTV MARGIN 2. DO NOT TREAT 3. GET ALERT
  • 19. GETTING IN • REGISTER YOURSELF • GET YOUR ID • GET YOUR PASSWORD • FORGOT PASSWORD OPTION • ACTIVATION THROUGH EMAIL
  • 20. ADDING IN • ADD PATIENT • VIEW PATIENT • DELETE PATIENT • OPTION OF PATIENT PHOTO
  • 21. ACTING IN • DAILY IGRT OPTION • ADD NUMBER OF TREATMENTS • X-Y-Z COORDINATE • Xr-Yr-Zr rotational COORDINATE • Add image of the day
  • 22. Sharing in • If red alert get notification on screen • Share the total data to email as excel
  • 23. Future in • Van -Herk formula PTV calculation • Approval • Sync with console
  • 24. Steps to operate 1. Read the instruction 2. Signup 3. Fill your details 4. Create id and password for yourself and your physicist/technologist 5. Technologist can add patients 6. Add patient details 7. Add IGRT coordinate error for each day 8. Click the light of the day by pressing the correct button which fit 9. You can download IGRT details as excel and share 10. If red get pop-up.
  • 25. HOW THE APP LOOKS LIKE
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