- The user may customize a report template by adding an expected PDF with Title to the Report Template in ClearCheck Administration. This will display as a new section within the ClearCheck template with a button allowing the user to insert a PDF from an external directory. The PDF will be merged into the ClearCheck report automatically
- A PDF may be added ad-hoc within the ClearCheck report window by clicking Insert > PDF button and choosing the appropriate file. The PDF will be appended automatically to the end of the ClearCheck report.
An alternative to this workflow would be to have the physics plan checker be the one to print the plan after plan check is completed. The ClearCheck report window can remain open while the plan check interacts with Eclipse/ARIA (ClearCheck MainWindow must be first closed).The plan checker may use this window to aid in their plan check and confirm that all necessary documentation is included correctly before printing everything to PDF in one click. This workflow has the added benefit of having the Physics reviewer username appear on the cover page with the Treatment Approval status (Eclipse API V15.1+ only) and assures that only documentation that is reviewed and ready for treatment may be printed.
ClearCheck has the ability to run dose constraints and display dose in the report window on a plan sum with two unique CT scans which have been fused. However, it is critical to note that this evaluation can only be performed based on the structures contoured within the primary structure set selected for that plan sum. The dose display and DVH in ClearCheck will therefore match that displayed in the Plan Evaluation window for these types of cases, but the user must be careful to confirm that no significant target or structure deformations have occurred between these two scans. The plan sum dose may be misleading if there are large changes between the two scans (eg full vs empty bladder for pelvis re-scans). The user is cautioned against using these kinds of plans sum unless the effect of the deformations between the two scans is fully evaluated.
It is possible to add Physician specific templates with the Constraints tab of the Administration tab, and it is up to each institution to decide how to organize. Each global template can be named uniquely by the site and MD or they can be organized into folders. The folders can either separate templates by disease sites, with each MDs template version separated by a unique name, or each physician could have a unique folder with all of their treatment site templates saved within. It is also possible to keep all templates within the default location and the Filter search may be used to quickly find individual templates.
For cases where there are gaps in the target PTV, you would have need to look under structure checks because ClearCheck was warning of an incongruous PTV, which lead to the low dose region.
Written by Tyler Blackwell
Tyler Blackwell is a board-certified medical physicist with extensive clinical experience in radiation therapy. He is active in several AAPM committees, has served as secretary-treasurer for the Northwest Chapter of AAPM, and is an ABR orals examiner. Tyler dabbles in real estate investing and loves preparing breakfast for his two kiddos.
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