Spine SRS

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GENERAL INFORMATION
SOFTWARE OVERVIEW
CALCULATE TREATMENT PLANS
- Calculating a Dose Plan
- Plan Analysis Table
REVIEW TREATMENT PLANS
SAVE TREATMENT PLANS
- Introduction
  - Modulation Complexity Score (MCS)
- Saving a Plan
  - How to Save a Treatment Plan
EXPORT TREATMENT PLANS
CLINICAL PROTOCOL EDITOR
HOW THE OPTIMIZATION ALGORITHM WORKS
IMPORT DATA
- xBrain Data (iPlan RT)
  - xBrainConverter Workflow for Plan Comparisons
  - xBrainConverter Workflow for Commissioning
- DICOM Data (Third-Party Systems)
SOFTWARE REVALIDATION
- How to Perform Software Revalidation
  - Software Revalidation Workflow
MESSAGES

1.5 1.0 - PDF Only Guide

Revision: 1.1

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How to Identify your Product

For Hardware

The name of the product can be found on the device label.

For Software

Find your Brainlab product name and version by performing the following steps:

1. Click or press the Brainlab logo in the software (bottom right). A dialog box opens.

2. Make a note of the software name and version number from the dialog box. You need to consider the first two digits of the version to find the correct user guide.

3. Enter these details into the search field on this site.
The latest version is displayed by default. If you have an earlier software version, please check the drop-down menu to see if it is available.

Initial Steps

Preparation Screens

Initially, the software leads you through three preparation screens where you need to make a few selections and adjustments.

Couch Top Safety Considerations

If irradiation is directed through a solid carbon fiber layer such as a couch top, attenuation and dose build-up occur. By specifying the couch top used, these effects can be taken into account during dose planning.

It cannot be guaranteed that the implemented parameters are consistent for non-Brainlab couch tops. Please verify that the calculations correspond to your couch top by performing appropriate QA measures.

Warning

Treating patients through the couch top (from posterior) should be avoided. If it is unavoidable, you should include your couch top model for dose calculation. If not, be aware that the calculated dose distribution does not include the additional attenuation or the increased skin dose close to the couch top. The dose calculation must be corrected manually for these factors.

Warning

You must verify the correctness of the couch top position with respect to the patient position. This is especially necessary for beams hitting the couch top in a flat, almost horizontal angle. Small differences between the dose plan and the actual treatment setup can lead to significant differences between the calculated and actual dose.

Warning

Couch top models are approximations of the real geometry and do not take into account high-density regions containing metal connectors. Avoid irradiating through these regions.

Warning

The couch top is extended in the X-Y direction even if the CT-scan range is smaller. Note that the couch top length is clipped to the corresponding scan range (Z-direction), or to the clipping box, whichever is smaller.

Art-No. 60919-40EN

Date of publication: 2019-05-22

The online version is based on the printed version of the user guide but may contain additional content.

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Spine SRS

Table of Contents

Initial Steps

Preparation Screens

Couch Top Safety Considerations