Difference between revisions of "IHERO UseCase brachy"

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==2. The Problem==
 
==2. The Problem==
 +
In general, we need a method to add brachytherapy dose distributions to those from external beam (traditional and IMRT).
  
Case 1)  After the course of HDR/LDR/PDR brachytherapy for GYN, nodal boost with IMRT might be needed.  It would be of great help if the dose distribution from the brachytherapy fractions (4-5 fraction for HDR, 2 fractions for PDRs) can be displayed on the CTs/MRs acquired for the IMRT boost so the IMRT planning is done in an efficient manner.  Currently, this is done in a manual fashion.  This is a connectivity issue between brachytherapy treatment planning systems and external beam TPS from different vendors.  The nodes are far away from the GYN implant so issues with tissue deformation due to the rigid applicator might not be an issue.
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Specific Problems:
 +
'''
 +
Problem (1)''' After the course of HDR/LDR/PDR brachytherapy for GYN, nodal boost with IMRT might be needed.  It would be of great help if the dose distribution from the brachytherapy fractions (4-5 fraction for HDR, 2 fractions for PDRs) can be displayed on the CTs/MRs acquired for the IMRT boost so the IMRT planning is done in an efficient manner.  Currently, this is done in a manual fashion.  This is a connectivity issue between brachytherapy treatment planning systems and external beam TPS from different vendors.  The nodes are far away from the GYN implant so issues with tissue deformation due to the rigid applicator might not be an issue.
  
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Case 2)  Add brachytherapy dose distribution from other implants like a Mammosite, endobronch, nasal, interstitial.  Not sure if there is specific case that would benefit from this.
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'''Problem 2)''' Add brachytherapy dose distribution from other implants like a Mammosite, endobronch, nasal, interstitial.  Not sure if there is specific case that would benefit from this.  Feel free to add your problems here.
  
  

Revision as of 15:02, 1 August 2008


<Delete everything in italics and angle brackets and replace with real text>


1. Proposed Workitem: Brachytherapy

  • Proposal Editor: Firas Mourtada
  • Editor: Firas Mourtada
  • Date: N/A (Wiki keeps history)
  • Version: N/A (Wiki keeps history)
  • Domain: Radiation Oncology


2. The Problem

In general, we need a method to add brachytherapy dose distributions to those from external beam (traditional and IMRT).

Specific Problems: Problem (1) After the course of HDR/LDR/PDR brachytherapy for GYN, nodal boost with IMRT might be needed. It would be of great help if the dose distribution from the brachytherapy fractions (4-5 fraction for HDR, 2 fractions for PDRs) can be displayed on the CTs/MRs acquired for the IMRT boost so the IMRT planning is done in an efficient manner. Currently, this is done in a manual fashion. This is a connectivity issue between brachytherapy treatment planning systems and external beam TPS from different vendors. The nodes are far away from the GYN implant so issues with tissue deformation due to the rigid applicator might not be an issue.


Problem 2) Add brachytherapy dose distribution from other implants like a Mammosite, endobronch, nasal, interstitial. Not sure if there is specific case that would benefit from this. Feel free to add your problems here.


3. Key Use Case

<Describe a short use case scenario from the user perspective. The use case should demonstrate the integration/workflow problem.>

Create a CT/MR-based ICBT plan using Oncentra Brachy or BrachyVision, and can transfer to Pinnacle to plan IMRT boost plan to the para aortic given what was already been given to these nodes from the brachytherapy'


4. Standards & Systems

<List existing systems that are/could be involved in the problem/solution.>

<If known, list standards which might be relevant to the solution>


5. Discussion

<Include additional discussion or consider a few details which might be useful for the detailed proposal>

<Why IHE would be a good venue to solve the problem and what you think IHE should do to solve it.>
<What might the IHE technical approach be? Existing Actors? New Transactions? Additional Profiles?>
<What are some of the risks or open issues to be addressed?>


<This is the brief proposal. Try to keep it to 1 or at most 2 pages>


<Delete this Category Templates line since your specific Profile Proposal page is no longer a template.>