===== IHE Radiation Oncology - ARTI Profile Testing ===== The Advanced RT Integration (ARTI) Profile is tested by importing CT image and Structure Set test data in a Producer Actor, creating a treatment plan (and dose) for a supported beam type, and exporting the plan (and dose) to an Archive for retrieval by a test partner (Consumer Actor). Side-by-side comparison of plan displays on the Producer and Consumer Actors is used to verify interoperable exchange of plan information. ====General Instructions==== * Import and save CT images and RT structure set for both supine and prone patients. Import the multiple brain mets patient if you are testing stereotactic beams. * For each producer, create two plans, one with all supported options and one without options (if you support multiple options e.g.: beam limiting devices, bolus etc.) * Place isocenter as follows: * **Supine patient:** x = -3.2mm, y = 69.2mm, z = 239 mm (DICOM) * **Prone patient**: x = -2.7mm, y = 28.4mm, z = 254 mm (DICOM) * **Brain mets patient**: isocenter 1: x = 42.4mm, y = -194.3mm, z = -65.0mm; isocenter 2: x = -10.2mm, y = -256.8mm, z = -66.0mm (DICOM) * Specify a total dose of 54 Gy (27 x 2 Gy fractions) to ptv54, unless otherwise specified. * Label the plan appropriately: e.g., plan_static_mlc * If possible, store each plan and dose in its own DICOM Series and use the Series Description to identify the ARTI Actor, i.e. beam type, that produced it. * If possible, do not include setup beams in the plan. * Calculate dose and display 20, 50, and 90% isodoses (normalize to the maximum dose). * Label the dose to correspond to the plan, e.g., dose_conformal_arc. * Please use the prone patient for at least 20% of your plans (at least one, if more than one beam type is tested). * Although it is not a Profile requirement, consider making the testing more interesting by creating a plan using a foot-first treatment position. (The CT images are head-first scans.) ==== Test Datasets ==== Three patient datasets are available for testing ARTI Actors: * **ARTI15A01**xx - **Supine** (head/neck) patient * **ARTI15A02**xx - **Prone** (anal-canal) patient * **ARTI15A03**xx - Multiple brain mets patient (for stereotactic beams) Note: __xx__ is a vendor code for the Producer Actor. {{:connectathon:instructions:arti_overview_1.png?300|Supine patient}} {{:connectathon:instructions:ARTI_12_HFP.png?300|Prone patient}} {{:connectathon:instructions:ARTI_multi-mets.png?300|Multiple-metastases patient}} ====Plans==== Note: the numbering below is different from the numbering used in the Supplement ftp://ftp.ihe.net/RadiationOncology/Supplements/ARTI/IHE-RO_ARTI_Supplement_V1-6_2014-02-25.docx - **Basic Static Beam**: Generate a plan with two opposing lateral beams - **Basic Static MLC Beam**: Generate a plan with two opposing lateral beams - **Motorized Wedge Beam**: Generate a plan with AP and right lateral beams - **Hard Wedge Beam**: Generate a plan with AP and right lateral beams - **Virtual Wedge Beam**: Generate a plan with AP and right lateral beams - **Arc Beam**: Generate a plan with two lateral arcs (0 -270, 0 – 90) - **Conformal Arc**: Generate a plan with two lateral arcs (0 -270, 0 – 90) - **MLC Arc Beam**: Generate a plan with two lateral arcs (0 -270, 0 – 90) - **Step & Shoot Beam**: Generate 5 beams, use structure //ptv18// as target - **Sliding window Beam**: Generate 5 beams, use structure //ptv18// as target - **Static Electron Beam**: Generate a plan with a 10 x 10 applicator, 110 SSD, 9 MeV energy. Note: the isocenter is different than in other plans, dose normalization point in DICOM Coordinates at (X=0, Y=-9, Z=246) mm (DICOM) - **IMAT/VMAT Beam**: Generate a VMAT/IMAT plan, use structure //ptv18// as target - **Stereotactic Beam**: Generate a stereotactic plan - **Stereotactic Arc Beam**: Generate a stereotactic arc plan ===Detailed Instructions for Supine Patient=== * :!: All field sizes below are in the IEC coordinate system * :!: Isocenter coordinates are in DICOM coordinate system ^ ^ 1. ^^ 2. ^^ 3. ^^ 4. ^^ 5. ^^ 6. ^^ 7. ^^ 8. ^^ 9. ^^^^^ 10. ^^^^^ 11. ^ 12. ^^ 13. ^^^^^ 14. || ^ Plan Name | Basic Static || Basic Static MLC || Motorized Wedge || Hard Wedge || Virtual Wedge || Arc || Conformal Arc || MLC Arc || Step & Shoot ||||| Sliding Window ||||| Static Electron | IMAT/VMAT || Stereotactic ||||| Stereo Arc || ^ Field Number | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 1 | 2 | 3 | 4 | 5 | 1 | 2 | 3 | 4 | 5 | 1 | 1 | 2 | 1 | 2 | 3 | 4 | 5 | 1 | 2 | ^ Gantry | 90° | 270° | 90° | 270° | 0° | 270° | 0° | 270° | 0° | 270° | 0° | 0° | 0° | 0° | 0° | 0° | 0° | 45° | 135° | 225° | 315° | 0° | 45° | 135° | 225° | 315° | 0° | 0° | 0° | 0° | 45° | 315° | 270° | 90° | 0° | 0° | ^ Stop | - || - || - || - || - || 270° | 90° | 270° | 90° | 270° | 90° | - ||||| - ||||| - | 270° | 90° | - ||||| 270° | 90° | ^ Direction | - || - || - || - || - || CCW | CW | CCW | CW | CCW | CW | - ||||| - ||||| - | CCW | CW | - ||||| CCW | CW | ^ Couch | 0° || 0° || 0° || 0° || 0° || 0° || 0° || 0° || 0° ||||| 0° ||||| 0° | 0° || 0° | 15° | 345° | 0° | 0° | 0° || ^ Collimator | 0° || 0° || 0° || 0° || 0° || 0° || 0° || 0° || 0° ||||| 0° ||||| 0° | 0° || 0° ||||| 0° || ^ Field size | || || n/a || 15 cm x 10 cm || 15 cm x 10 cm || || Conform to //ptv18// || 15 cm x 15 cm || Conform to //ptv18//((Some beams may split to multiple carriage groups)) ||||| Conform to //ptv18//((Some beams may split to multiple carriage groups)) ||||| | Conform to //ptv18// || 4 cm x 4 cm ||||| 4 cm x 4 cm || ^ X1 | -4.0 cm || -5.0 cm || ::: || ::: || ::: || -4.0 cm || ::: || ::: || ::: ||||| ::: ||||| ::: | ::: || ::: ||||| ::: || ^ X2 | 6.0 cm || 5.0 cm || ::: || ::: || ::: || 6.0 cm || ::: || ::: || ::: ||||| ::: ||||| ::: | ::: || ::: ||||| ::: || ^ Y1 | -10.0 cm || -10.0 cm || ::: || ::: || ::: || -4.0 cm || ::: || ::: || ::: ||||| ::: ||||| ::: | ::: || ::: ||||| ::: || ^ Y2 | 5.0 cm || 5.0 cm || ::: || ::: || ::: || 6.0 cm || ::: || ::: || ::: ||||| ::: ||||| ::: | ::: || ::: ||||| ::: || ^ MLC | - || Fit to //ptv18// || Fit to //ptv18// || - || - || - || Conform to //ptv18// || Fit to //ptv18// from start gantry angle || Conform to //ptv18// ||||| Conform to //ptv18// ||||| - | Conform to //ptv18// || - ||||| - || ^ [[machinedefinitions#Wedge IDs|Wedge ID]] | - || - || MW\\ Angle 45° || W30R30 | W30IN30 | EDW20OUT || - || - || - || - ||||| - ||||| - | - || - ||||| - || ^ Applicator ID | - || - || - || - || - || - || - || - || - ||||| - ||||| A10 | - || 20mm Cone ||||| 20mm Cone || ^ Applicator Type | - || - || - || - || - || - || - || - || - ||||| - ||||| ELECTRON_SQUARE | - || STEREOTACTIC ||||| STEREOTACTIC || ^ Energy | 6 MV | 18 MV | 6 MV | 18 MV | 6 MV || 6 MV || 6 MV || 6 MV || 6 MV || 6 MV || 6 MV ||||| 6 MV ||||| 9 MeV | 6 MV || 6 MV ||||| 6 MV || ^ Primary Fluence Mode | STANDARD || STANDARD || STANDARD || STANDARD || STANDARD || STANDARD || STANDARD || STANDARD || STANDARD ||||| STANDARD ||||| STANDARD | STANDARD || NON_STANDARD/SRS ||||| NON_STANDARD/SRS || ^ Dose Rate | 600 MU/min || 600 MU/min || 400 MU/min || 600 MU/min || 600 MU/min || 600 MU/min || 600 MU/min || 600 MU/min || 600 MU/min ||||| 600 MU/min ||||| 600 MU/min | variable || 1000 MU/min ||||| 1000 MU/min || ^ Dose( cGy) | 200 || 200 || 200 || 200 || 200 || 200 || 200 || 200 || 200 ||||| 200 ||||| 200 | 200 || 200 ||||| 200 || ^ Isocenter X | -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm || -0.32 cm ||||| -0.32 cm ||||| Set SSD to 110 cm | -0.32 cm || -0.32 cm ||||| -0.32 cm || ^ Isocenter Y | 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm || 6.92 cm ||||| 6.92 cm ||||| ::: | 6.92 cm || 6.92 cm ||||| 6.92 cm || ^ Isocenter Z | 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm || 23.9 cm ||||| 23.9 cm ||||| ::: | 23.9 cm || 23.9 cm ||||| 23.9 cm || ^ Suggested Machine | IHE_V120 || IHE_V120 || **IHE_ELVHD** || IHE_120 || IHE_V120 || IHE_V120 || IHE_V120 || IHE_V120 || IHE_V120 ||||| IHE_V120 ||||| IHE_V120 | IHE_V120 || IHE_V120 ||||| IHE_V120 || ^ Bolus Modifier | O || O || O || O || O || O || O || O || O ||||| O ||||| O | O || O ||||| O || ^ Block Modifier | O || || O || O || O || O || O || || O ||||| O ||||| O | || ||||| || ^ Hard Wedge Modifier | || || O || || O || || || || O ||||| O ||||| | || ||||| || ^ Compensator Modifier | O || O || O || O || O || || || || O ||||| O ||||| | || ||||| ||