2018 SGRT Community Meeting Atlanta
- 1. SGRT Community | Atlanta | May 2018 Initial Experiences with SGRT for Halcyon: Future Horizons for SGRT Todd Pawlicki Division of Medical Physics & Technology Department of Radiation Medicine & Applied Sciences University of California, San Diego
- 2. SGRT Community | Atlanta | May 2018 Technology Evolution 2008 2010 2017
- 3. SGRT Community | Atlanta | May 2018 August 2017
- 4. SGRT Community | Atlanta | May 2018 Start Up • Delivery • August 12, 2017 • First patient treated • September 22, 2017 • Delay for State sign-off • 20 days Treatment Site Number of Plans Abdomen 8 Brain 35 Breast 1 GYN 1 Head and Neck 43 Lung 25 Other 17 Palliative 16 Prostate 44 Spine 1 Total 191 Individual patients 171
- 5. SGRT Community | Atlanta | May 2018 Patients Treated • 10-12 hour treatment day • Up to 60 patients/day • 8 minutes/patient • average Abdomen Brain Head and Neck Lung Other Palliative Prostate (Sep 22, 2017 – May 1, 2018)
- 6. SGRT Community | Atlanta | May 2018 Machine Log Reports 0 3 6 9 12 15 18 TrueBeam (1018) TrueBeam (1029) Halcyon (1004) AlignRT (2 Systems) Number of Reports Per Month
- 7. SGRT Community | Atlanta | May 2018 SGRT with Halcyon 2 Camera system
- 8. SGRT Community | Atlanta | May 2018 DICOM RT AlignRT in Dosimetry EclipseCT Sim AlignRT at the TrueBeam or iX AlignRT at the Halcyon
- 9. SGRT Community | Atlanta | May 2018 SGRT with the Halcyon
- 10. SGRT Community | Atlanta | May 2018
- 11. SGRT Community | Atlanta | May 2018
- 12. SGRT Community | Atlanta | May 2018
- 13. SGRT Community | Atlanta | May 2018
- 14. SGRT Community | Atlanta | May 2018
- 15. SGRT Community | Atlanta | May 2018
- 16. SGRT Community | Atlanta | May 2018
- 17. SGRT Community | Atlanta | May 2018
- 18. SGRT Community | Atlanta | May 2018 Short-term vs. Long-Term
- 19. SGRT Community | Atlanta | May 2018 Short- or Long-Term Future? October 2009: First SGRT SRS Patient Treated at UCSD
- 20. SGRT Community | Atlanta | May 2018 2009 ~ 2011 Short-term Long-Term
- 21. SGRT Community | Atlanta | May 2018 Short-Term Future of SGRT • Every patient, every fraction • Pre-treatment patient setup (no tattoos, marks, or lasers) • Intra-fraction motion monitoring • Bolus setup and verification • Bore based systems, MR-Linacs, Proton systems, CyberKnife, etc. • SGRT is the default system for 4DCT and Gated treatments • Collision prediction, detection, and avoidance • Patient identification and verification (safeRT)
- 22. SGRT Community | Atlanta | May 2018
- 23. SGRT Community | Atlanta | May 2018 2010 2018 Automation Simplification Burying Complexity
- 24. SGRT Community | Atlanta | May 2018 Long-Term Issues & Opportunities • Systems engineering safety assessment of SGRT and Halcyon
- 25. SGRT Community | Atlanta | May 2018 Possible Long-Term Opportunities • Extracting health information from people's faces • Workflow facilitation and monitoring • Patient, staff tracking and associated information flow • What else???
- 26. SGRT Community | Atlanta | May 2018 Flawed Suboptimal Acceptable Excellent Best possible Before SGRT Current and Future SGRT Courtesy of Kevin Moore, PhD • More Comfortable • Improved Efficiency • Safer Clinics • Greater Accuracy • Better Outcomes
- 27. SGRT Community | Atlanta | May 2018 Summary • SGRT has an important role in Halcyon treatments • The short-term future of SGRT will revolutionize RT • The long-term future of SGRT is still being defined