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26 Cards in this Set
- Front
- Back
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TPS |
treatment planning system |
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TMS |
treatment managment system |
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TDS |
treatment delivery system |
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PACS |
picture and archiving and communication systems |
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What is pacs |
it is a image viewing system |
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integration of many different software and hardware systems |
complex intra operativity |
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images -> TPS |
images acquired from pet/ct/mri
images transferred to TPS where they are manipulated -usually uses DICOM protocols |
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DICOM stand for |
digital imaging and communication in medicine |
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TPS, what is it |
the heart of the process
the image is uploaded physician designs areas for treatment physician designs parameters: dose/limitations it is sent to workstation Dose distribution is calculated data stored data archived |
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TPS -> treatment machine |
treatment plan and parameters are sent to treatment machine treatment machine deliver beams to phantom for dose mapping (mapcheck) then it has to be electronically signed and approved |
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RO EMR.... |
the EMR: Controls, Verifies, and Records |
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each time the patient is treated, the machine requests information from EMR |
treatment parameters beam is positioned tells EMR of beam position waits for EMR to verify once it is verified, it treats then it is recorded |
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for each beam, data is |
downloaded verified treated recorded |
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the process of TPS diagram |
image acquistion TPS plan verification , record and verify linear accelerator (treatment) |
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precautions of EMR |
Operation Use Installation Maintanence |
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IT related tasks |
work with physicist usually quick to respond, 3 min data between hospital data between other facilities vendor support HIPPA database maintenance backup and archive |
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defining appropriate support personal
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-various computer systems with different security requirements, and different networking requirements |
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types of staff |
physicist IT staff collaboration |
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three tiers of system |
medical devices multi purpose office |
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medical device tier |
entirely clinical directly effects patients needs attention to security needs no access to internet outside of hospital limited functions requires oversight by physicists and vendors IT may be involved for backup and archiving |
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Multipurpose tiers |
grey zone between clinical systems and generic office systems -physicists computer -secondary access -physicists who work closely with IT |
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office tiers |
common desktop computers they are not used for treatment do not effect patient care IT oversees with support from physicists |
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RO IT professionals |
greater skills than average IT specialist some knowledge of medical physicist and service engineer currently now education avaliable |
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Medical physicists changing roles |
computer issues are traditionally given to a physicist no formal training in computer technology now, with more advances, recommendations for continuing education |
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quick pack of change because... |
technology changes quickly change in roles communication is key continued education must be the norm |
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proper management of IT resources is necessary to... |
insure patient data integrity plan quality assurance critical patient care and maximize improved patient outcomes |
