Part 12: Radiation Oncology Digital Imaging Applications

Order Verification

~ Verify treatment orders for accuracy and completeness

~ Ensure orders match the planned treatment parameters

~ Coordinate with the radiation oncologist for clarification when needed

Image Acquisition

~ Position the patient accurately using immobilization devices

~ Utilize CT, MRI, or PET-CT for simulation and planning

~ Acquire high-quality images to visualize anatomy and target areas.

Processing

~ Manipulate images for optimal visualization of the target area

~ Compare current and prior images to assess treatment alignment

~ Match images with treatment plan to verify accuracy

Annotation Issues

~ Accurately annotate images for anatomical reference

~ Ensure annotations are clear and consistent

~ Avoid errors that could compromise patient safety

Transmitting Images

~ Use secure systems to transmit imaging data to planning software

~ Verify the integrity of transmitted images

~ Maintain compliance with data transfer protocols

HIPAA and Patient Confidentiality

~ Protect patient information in all digital imaging processes

~ Ensure compliance with HIPAA regulations

~ Limit access to patient data to authorized personnel only

Image Orientation to Patient Anatomy

~ Align images to patient anatomy accurately

~ Verify correct position and laterally before treatment

~ Use anatomical landmarks for reference

Adaptive Planning

~ Modify treatment plans based on updated imaging.

~ Address anatomical changes or tumor response.

~ Coordinate with the treatment planning team for adjustment

Medical Image Management and Processing Systems (MIMPS)

~ Evolution from Picture Archiving and Communication Systems (PACS)

~ Functions: storage, retrieval, distribution, and presentation of medical images

~ Benefits: improved accessibility, reduced physical storage needs, and enhanced collaboration

Hospital Information System (HIS)

~ Comprehensive management of hospital operations

~ Functions: patient registration, billing, inventory management, and more

~ Integration with other systems for seamless information flow

Radiology Information System (RIS)

~ Specialized system for radiology departments

~ Functions: scheduling, tracking, and reporting of radiology exams

~ Integration with MIMPS for efficient workflow

Oncology Information System (OIS)

~ Tailored for oncology departments

~ Examples: ARIA, MOSAIQ

~ Functions: treatment planning, scheduling, and documentation

~ Enhances coordination among oncology care teams

Digital Imaging and Communications in Medicine (DICOM) Standards

~ Standard for handling, storing, and transmitting medical images

~ Ensures interoperability between imaging devices and systems

~ Facilitates integration of various imaging modalities

Health Level Seven (HL7) Standards

~ Framework for the exchange, integration, and retrieval of electronic health information

~ Promotes interoperability among healthcare applications

~ Supports clinical and administrative data exchange