Difference between revisions of "RT Treatment Workflow"

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'''Radiotherapy Treatment WorkFlow (TRWF)''' integrates daily imaging with radiation therapy treatments using workflow.
  
''This template is for the one or two page user-oriented overview of an IHE Profile that is in Final Text, Trial Implementation or perhaps Public Comment.  Delete text in italics and replace it with your material.  Don't forget to delete the double quotes too.''
 
  
''Your page name should simply be Full Profile Name with spaces, with capitals, without the acronym. e.g. Scheduled Workflow. so it provides a title to the page. You can redirect the acronym to the full named page if you like for bonus points.''
 
 
 
''<IN ONE LINE, tell a user what the profile is about (including the acronym) so they can decide if they're on the right page.  Basically this should be the same sentence that appears on the [[Profiles]] catalog page>''
 
 
''e.g. Scheduled Workflow (SWF) integrates ordering, scheduling, imaging acquisition, storage and viewing for Radiology exams.''
 
 
}}}
 
 
__TOC__
 
__TOC__
  
 
==Summary==
 
==Summary==
{{{2|''<Describe the profile in about a paragraph using user-oriented language. Focus on what it accomplishes for a user (i.e. the Use Cases).  Don't get into how it works, leave that to the Details section.>''}}}
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Two Workflows are described by this profile:
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* '''Discrete''' Positioning and Delivery Workflow involves positioning a patient and subsequent treatment delivery performed by '''separate devices'''.
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* '''Integrated''' Positioning and Delivery Workflow involves positioning a patient and subsequent treatment delivery both performed by a '''single device'''.
  
''<Insert a simple graphic that, at a glance, visually summarizes what the profile is about.  Do not use an actor/transaction diagram here.  Show your graphic to someone for 5 seconds (literally) and ask them what it's about.  If what they say hits the main points in your summary paragraph, you have succeeded.  E.g. a graphic of a hospital, a clinic, and a lab with patient records moving between them.  .>''
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==Benefits==
  
''<See [[Help:Contents#Tips_.26_Tricks| Help - Tips and Tricks]] for details on inserting an image/graphic.>''
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* interoperability between multi-vendor radiotherapy systems
  
==Benefits==
 
 
''<List the key benefits the profile provides (e.g. error reduction, increased throughput) and how they come about (e.g. SWF reduces patient errors due to mistyped demographics at the modality by transfering demographics electronically from the Order Filler).  Consider using a bullet list for readability>''
 
  
 
==Details==
 
==Details==
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Discrete Positioning and Delivery Workflow involves:
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* The Patient Positioning System (PPS)
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** acquires a set of 2D (planar projection) or 3D (CT) positioning images
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** performs a registration with previously retrieved reference images
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** repositions the patient if necessary
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* The Treatment Delivery Device (TDD)
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** delivers the intended treatment to the already correctly positioned patient
  
''<A few paragraphs, if appropriate, providing more details (mostly in user-speak, not tech-speak) on what the profile does and how it works.>''
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Integrated Positioning and Delivery Workflow involves:
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* The Positioning and Delivery System (PDS)
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** acquires a set of 2D (planar projection) or 3D (CT) positioning images
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** performs a registration with previously retrieved reference images
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** repositions the patient if necessary
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** delivers the intended treatment
  
''<If the user might be familiar with the mechanisms used by the profile, you can mention them here.  E.g. Evidence Documents is based on DICOM Structured Report (SR) Templates.>''
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==Systems Affected==
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* Radiation Oncology PACS
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* Treatment Planning Systems
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* Radiotherapy Treatment Delivery Systems
  
''<If the user might have an appreciation for the problems addressed in the profile, you can mention them here, but keep it short.  E.g. Mapping HL7 Order fields to DICOM Modality Worklist attributes can be inconsistent in the marketplace, so Scheduled Workflow provides vendors with more detailed instructions.>''
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'''Actors & Transactions: Discrete Positioning and Delivery Workflow'''
 
==Systems Affected==
 
''<List (in user terms) the types of systems they might expect to have implemented actors from this profile, e.g. RIS, PACS, HIS, CAD Workstation, etc. and for each, how it would participate.>''
 
  
* ''PACS systems may store, manage, and/or display Evidence Documents.''
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[[image:TRWF discrete transactions.jpg]]
* ''Display systems may query, retrieve and display Evidence Documents.''
 
* ''Reporting workstations may retrieve, process and include details from Evidence Documents in reports
 
  
'''Actors & Transactions:'''
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'''Actors & Transactions: Integrated Positioning and Delivery Workflow'''
  
''<Insert an actor-transaction diagram, and or list of Content Definitions>''
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[[image:TRWF integrated transactions.jpg]]
  
 
==Specification==
 
==Specification==
  
'''Profile Status:''' [[Comments| Final Text]]   
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'''Profile Status:''' [[Comments| Trial Implementation]]   
''<Replace "Final Text" with "Trial Implementation" or "Public Comment" as appropriate.>''
 
  
'''Documents:'''  
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'''Documents:''' [http://www.ihe.net/Technical_Framework/index.cfm#rad_onc IHE Radiation Oncology Technical Framework:]
 
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* [http://www.ihe.net/Technical_Framework/upload/IHE_RO_TF_Supplement_Treatment_Delivery_Workflow_PublicComment_2007_08_20.pdf Managed Delivery Workflow] - Chapter 3 & 4 and Appendix A & B
''<Provide direct links to the specific volumes or supplements, and list the volume sections relevant to this profile.  This is a simple inventory of official normative and informative text.  If you would like to provide a reading guide or walkthrough of what is in each of the different sections for implementers or users, do that in the Profile FAQ or the Profile Implementation Page linked below.  If the profile uses transactions from multiple Tech. Frameworks, repeat the structure below.>''
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* see DICOM Supplement 74
 
 
[http://www.ihe.net/Technical_Framework/index.cfm#radiology IHE Radiology Technical Framework:]
 
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8.pdf Vol. 1] - Section 5 (SWF Profile)
 
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-2.pdf Vol. 2] - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
 
:* [http://www.ihe.net/Technical_Framework/upload/ihe_tf_rev8-3.pdf Vol. 3] - Appendix E
 
  
 
'''Underlying Standards:'''
 
'''Underlying Standards:'''
  
''<list all the standards on which the profile is based; if possible with links to sources>''
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* [http://dicom.nema.org DICOM]
:* [http://dicom.nema.org DICOM]
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* [http://groups.yahoo.com/group/dicomrt DICOM-RT]
:* [http://www.hl7.org HL7]
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* [http://www.hl7.org HL7]
:* ...
 
  
 
==See Also==
 
==See Also==
 
''<The following sections can be left out if there is nothing to point to.  This is just to show where such information can go.>''
 
 
  
 
'''Related Profiles'''
 
'''Related Profiles'''
  
''<List profiles this one depends on, profiles that depend on this one, profiles that are synergistic with this one.  Start with the name of the other profile as a link and then explain the relationship.>''
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* [[Normal Treatment Planning-Simple]] (NTPL-S) ''<describe the nature of the relationship between this profile and TRWF>''
 
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* [[Multimodality Registration for Radiation Oncology]] (MMR-RO) ''<describe the nature of the relationship between this profile and TRWF>''
* ''[[Reporting Workflow]] [RWF] may use Evidence Documents as inputs to the reporting process.''
 
* ''[[Simple Image & Numeric Reports]] [SINR] may include data copied from Evidence Documents.''
 
* ''[[Cross-enterprise Document Sharing for Imaging]] [XDS-I] can be used to share Evidence Documents between sites over a network.''
 
* ''[[Portable Data for Imaging]] [PDI] can store Evidence Documents on media such as CDs.''
 
* ''[[Import Reconciliation Workflow]] [IRWF] can fix patient ids, etc. of Evidence Documents when importing.''
 
 
 
  
 
'''Consumer Information'''
 
'''Consumer Information'''
  
The [[{{{3|Profile FAQ Template}}}]] answers typical questions about what the Profile does. ''<Replace the link with a link to the actual FAQ page for the Profile>''
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* The [[TRWF_FAQ|TRWF FAQ]] answers typical questions about what the Profile does.
 
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* The [[TRWF_Purchasing|TRWF Purchasing ]] describes considerations when purchasing equipment to deploy this Profile.
The [[{{{3|Profile Purchasing Template}}}]] describes considerations when purchasing equipment to deploy this Profile. ''<Replace the link with a link to the actual Purchasing page for the Profile>''
 
  
 
'''Implementer Information'''
 
'''Implementer Information'''
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* The [[TRWF_Implementation|TRWF Implementation]] provides additional information about implementing this Profile in software. 
  
The [[{{{3|Profile Implementation Template}}}]] provides additional information about implementing this Profile in software.  ''<Replace the link with a link to the actual Implementation page for the Profile>''
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'''Reference Articles'''
 
'''Reference Articles'''
  
 
''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis).  Go ahead, Google: IHE <Profile Name> abstract  or something.  You might be surprised. >''
 
''<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis).  Go ahead, Google: IHE <Profile Name> abstract  or something.  You might be surprised. >''
 
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Latest revision as of 17:10, 11 November 2008

Radiotherapy Treatment WorkFlow (TRWF) integrates daily imaging with radiation therapy treatments using workflow.


Summary

Two Workflows are described by this profile:

  • Discrete Positioning and Delivery Workflow involves positioning a patient and subsequent treatment delivery performed by separate devices.
  • Integrated Positioning and Delivery Workflow involves positioning a patient and subsequent treatment delivery both performed by a single device.

Benefits

  • interoperability between multi-vendor radiotherapy systems


Details

Discrete Positioning and Delivery Workflow involves:

  • The Patient Positioning System (PPS)
    • acquires a set of 2D (planar projection) or 3D (CT) positioning images
    • performs a registration with previously retrieved reference images
    • repositions the patient if necessary
  • The Treatment Delivery Device (TDD)
    • delivers the intended treatment to the already correctly positioned patient

Integrated Positioning and Delivery Workflow involves:

  • The Positioning and Delivery System (PDS)
    • acquires a set of 2D (planar projection) or 3D (CT) positioning images
    • performs a registration with previously retrieved reference images
    • repositions the patient if necessary
    • delivers the intended treatment

Systems Affected

  • Radiation Oncology PACS
  • Treatment Planning Systems
  • Radiotherapy Treatment Delivery Systems

Actors & Transactions: Discrete Positioning and Delivery Workflow

TRWF discrete transactions.jpg

Actors & Transactions: Integrated Positioning and Delivery Workflow

TRWF integrated transactions.jpg

Specification

Profile Status: Trial Implementation

Documents: IHE Radiation Oncology Technical Framework:

Underlying Standards:

See Also

Related Profiles

Consumer Information

  • The TRWF FAQ answers typical questions about what the Profile does.
  • The TRWF Purchasing describes considerations when purchasing equipment to deploy this Profile.

Implementer Information

  • The TRWF Implementation provides additional information about implementing this Profile in software.


This page is based on the Profile Template