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) | ||