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Table 3 Requirements for efficiency

From: Making the right software choice for clinically used equipment in radiation oncology

Data import, data registration and structure contouring
Minimal Enhanced Optimal
2D brush, 2D pencil, 2D rubber Possibility of choosing the CT slices, which should be imported (some treatment planning system are not able to handle too much slices), manually Possibility of choosing the CT slices, which should be imported (faster treatment planning), manually
  Automatic contouring of the body contour All structures are created automatically after selection of the treatment scheme
  Undo function Propagated structures are automatically adapted to the new data set
   3D brush, deformable brush, structures stretchable, 3D rubber, structures can be drawn in sagittal and coronal slices
   Automatic segmentation of all organs at risk
Requirements for treatment planning
Minimal Enhanced Optimal
IMRT optimization with a pencil beam algorithm Optimization time for a common conventional IMRT <15 min. Optimization time for a common conventional IMRT <5 min.
Automatic positioning of the leafs in a defined distance to the PTV User defined DVH with an automatic display of OAR and PTV limits (green all well, yellow clinically acceptable, red out of limit, implementation of actual literature included and changes possible) User defined print option using one button with possible inclusion of e.g. individual tables (Adaption of national laws)
Optimization time for a common Conventional IMRT <30 min.   Simple creation of QA plans or Service used plans (goal with one button)
   Clinical protocols for all tumor entities with automatically linked dose concepts, structure templates, OAR structure templates, OAR dose constraint templates, treatment plan and optimization templates
Requirements for the ROKIS
Minimal Enhanced Optimal
License always available on every ROKIS workstation Integrated software concept with treatment planning, treatment delivery, patient verification among others (except CT) in the ROKIS QA Mode capability: Treatment of all treatment plans for QA purposes possible with corresponding rights
Specific and clearly understandable error messages Fast system  
Anonymization of patient data included (e.g. for data export and clinical studies) Possibility to open one or more sessions per workstation  
Requirements for patient verification
Minimal Enhanced Optimal
Verification data correctable at any time after treatment (offline analysis possible)