D3 Advanced IGRT
Optimizing the Clinical Application of Technology
The Advantages of IGRT
On-board imaging (OBI) enables clinicians to be more confident in advanced methods of radiotherapy such as IMRT and SRS; by minimizing the uncertainties associated with patient and tumor movement. Once basic OBI functionality and application have been mastered, clinicians can utilize OBI results to adapt the plan of treatment; improving benefits to the patient.
The Benefits of D3
To achieve the benefits of OBI, updated technology must be acquired for linear accelerators, imaging and quality assurance. Clinicians must understand the integration of this technology, overcome the learning curve associated with applying the new technology; and integrate advanced clinical practice into workflow.
| Clinical processes that must be updated include: |
 |
 |
Determining when the various modes of OBI should be used |
 |
Interpretation of images |
 |
Evaluating modification of the patient positioning or treatment plan based upon image interpretation |
 |
Plan QA |
 |
Tumor localization |
 |
OBI equipment quality assurance |
D3 offers an IGRT clinical implementation offering, with optional ongoing planning and consultation services to enable radiation therapy staff to attain the full benefits of the latest technology.
While vendor training focuses on the operation of technology, D3 focuses on assisting clinicians with the optimal clinical application to improve quality and efficiency of workflow.
Our implementation and training services enable you to establish a leading program, offering the benefits of IGRT to more types of patients, more efficiently.
IGRT Program Components
At the conclusion of the program, clinical staff will understand the core clinical concepts of the latest of OBI and related technology. Customized programs are available based upon your technology and support needs.
Services include the following:
- OBI Acceptance testing (in conjunction with the vendor engineer). This includes demonstration and quantitative testing of all imaging modes, positioning ranges, interlocks and systems. Periodic quantitative QA tests for the imager are also established.
- Qualitative system testing of the OBI system, employing an anthropomorphic phantom to determine optimal imaging techniques for application throughout the body.
- On-site training for the entire staff. Topics include:
- Defining IGRT
- Introduction to OBI and additional components
- The role of OBI in patient positioning and verification
- MV amorphous silicon EPID
- KV imager and Cone Beam CT
- Considerations in modifying the plan of treatment
- Record and Verify integration and field preparation
- EPID, kV imager/cone beam CT hands-on training
- OBI quality assurance
- Portal dosimetry

|