TABLE 1.
Example simulation orders from radiation oncologists
| Sections | Recommended | Optional |
|---|---|---|
| Patient information | Patient name, MRN, and DOB | |
| Informed consent completed | ||
| IED (implantable electronic device)/pregnancy/prior RT treatment (Y/N, then choose from a list) | ||
| Treatment intent (urgent, palliative, definitive, etc.) | ||
| Patient weight over couch weight limit per local policy (Y/N) | ||
| Treatment site | Anatomic location | |
| Bolus needed at simulation | ||
| Patient positioning | Supine, prone, lateral decub, frog leg, etc. | |
| Immobilization device (choose from a list) | ||
| Adaptive planning (eg, resim, use an old isocenter, change immobilization device, etc.) | ||
| Wire markers at simulation | ||
| Special shielding required (Y/N) | ||
| Contrast (oral, IV, urethra, etc.) | ||
| Organ preparation during simulation (full bladder, empty rectum, etc.) | ||
| Imaging technique | CT scan extension (super‐infer borders) | MRI and other image modality needed |
| Breath‐hold, 4DCT | Image fusion needed | |
| Treatment techniques | photon, electron | |
| 3D (SSD, AP/PA, tangent, etc.), IMRT, SBRT | Treatment delivery system (choose from a list) | |
| IGRT | IGRT method (choose from a list) | |
| IGRT alignment method (bone, specific organ, or markers) |