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Clinical Case Exercise
Pancreas
Features
Virtual Fluoroscopy
visualization of two different window settings for AP
and lateral DRR’s
Virtual Simulation
creation of beams to avoid kidneys
Abdomen
Technique - TAD
Patient Position
Supine
Arms above head
Immobilization
Vac-loc / Alpha Cradle
Scan Parameters
3 mm thick x 3 mm index
Treatment Plan
3 field
Open Study
Select Study
Select Open
Select Pancreas
Study will load
Set VOI
Press Left mouse button with
cursor on VOI edge
Pull edges in and release
Eliminate table and air as seen in
all viewports
Press right mouse button, drag to
SAVE VOI, and release
Access Virtual Fluoroscopy
Select Virtual Fluoroscopy
Study will load all scans
Split - 4 Layout
Ref 2-D
View
AP LAT
DRR DRR
Set Window/Level of AP DRR
Move cursor to AP DRR and
click middle mouse button to
activate
Type “900w”
Type “210l”
Zoom
Activate axial viewport by
placing cursor in viewport
and clicking middle mouse
button
Press and hold right mouse
button, drag to ZOOM IN
to magnify volume of
interest
Repeat as desired
Organ
Select Organ
Select Create
On screen will appear a pop-up menu
of Pre-defined Organ Names
Click outside menu
Using
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