4.8 Understand the purpose, advantages and limitations of devices/methods used for patient positioning and tumour localisation

Recommended Items of Training

  1. Observe (where possible) and review:
    • Basic patient set-up and movement tracking systems
    • The manufacture and use of immobilisation devices
    • An immobilised patient from mould room to treatment machine
    • Imaging systems for patient positioning from simulation to treatment verification
    • Simulation to verify plans before treatment
    • Various methods of port film/EPI evaluation to assess patient positioning accuracy and precision.
    • Lasers from real/virtual simulation to treatment.
    • Verification of patient positioning and dose delivery with IMRT
    • Verification of patient positioning with non-coplanar fields
    • Patient set-up and delivery of stereotactic radiosurgery treatment.
    • Stereotactic and advanced immobilisation devices
    • Advanced treatment patient set-up and movement tracking systems (e.g. IGRT, respiratory gating)
  2. Use a record and verify system (RVS) to gain familiarity with RVS application.
  3. Review and explain discrepancies between portal images, simulator/CT verification images and DRRs, for a series of patient treatments
  4. Perform a literature review on immobilisation for one treatment site.

Training, Evidence and Notes

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