. 2021 Aug 2;22(9):4–19. doi: 10.1002/acm2.13366

TABLE 5.

Example planner checklist items for EBRT plans

	Recommended	Optional
Planning	Patient identification and correct planning data set Isocenter or reference origin agree with simulation document Treatment site, laterality, and intended dose regimen in Rx agree withsimulation or other documents. CT image adequate (eg, FOV) Couch setting correct (eg, removal/insert table model) Density overrides in contours reasonable Normal/critical structure contours reasonable PTV and ITV are logical (without stray voxels) Dose grid size include all critical contours Bolus documented following local convention (if applicable) Field name/ID correct and following local convention Warning /error messages addressed	Calculation algorithm/resolutions set correctly, particularly for a structure with small volume in SRS Necessary new calculation/reference point added (if applicable) Composite plan if multiple CTs, sequential treatments, or retreatment Use the scheduled treatment machine
Plan document	Planned Rx matched with Rx in RO‐EMR Isodose distributions DVHs Scorecard/DVH metrics meet clinical requirements or clinical protocols (if applicable) Electron/bolus skin renders (if applicable) DRRs with beam shapes are appropriate (3D plan only) Collision check (gantry, couch, and patient body)	Include an Isocenter image slice Display beam configuration in 3D view Follow local documentation standard
RO‐EMR Preparation	Document Isocenter shifts and bolus Additional patient setup instruction following local convention Image guidance/motion management (KVCBCT, MVCBCT, DIBH, etc.) documented Rx approved by physician in RO‐EMR or in Plan Reference CT (isocenter/structures) for CBCT sent (for third party image guidance system) Block/accessory code (eg, electron code) checked Dose tracking parameter set Field parameters set and completed (table vertical, tolerance table, or default table position, SID) Treatment delivery pattern/schedule set correctly DRR associated and set to Tx (for third party RO‐EMR system) SSDs documented	Check number limits of contours/CT slices on IGRT systems Backup timer check

Recommended

Optional

Planning

Patient identification and correct planning data set

Isocenter or reference origin agree with simulation document

Treatment site, laterality, and intended dose regimen in Rx agree withsimulation or other documents.

CT image adequate (eg, FOV)

Couch setting correct (eg, removal/insert table model)

Density overrides in contours reasonable

Normal/critical structure contours reasonable

PTV and ITV are logical (without stray voxels)

Dose grid size include all critical contours

Bolus documented following local convention (if applicable)

Field name/ID correct and following local convention

Warning /error messages addressed

Calculation algorithm/resolutions set correctly, particularly for a structure with small volume in SRS

Necessary new calculation/reference point added (if applicable)

Composite plan if multiple CTs, sequential treatments, or retreatment

Use the scheduled treatment machine

Plan document

Planned Rx matched with Rx in RO‐EMR

Isodose distributions

DVHs

Scorecard/DVH metrics meet clinical requirements or clinical protocols (if applicable)

Electron/bolus skin renders (if applicable)

DRRs with beam shapes are appropriate (3D plan only)

Collision check (gantry, couch, and patient body)

Include an Isocenter image slice

Display beam configuration in 3D view

Follow local documentation standard

RO‐EMR Preparation

Document Isocenter shifts and bolus

Additional patient setup instruction following local convention

Image guidance/motion management (KVCBCT, MVCBCT, DIBH, etc.) documented

Rx approved by physician in RO‐EMR or in Plan

Reference CT (isocenter/structures) for CBCT sent (for third party image guidance system)

Block/accessory code (eg, electron code) checked

Dose tracking parameter set

Field parameters set and completed (table vertical, tolerance table, or default table position, SID)

Treatment delivery pattern/schedule set correctly

DRR associated and set to Tx (for third party RO‐EMR system)

SSDs documented

Check number limits of contours/CT slices on IGRT systems

Backup timer check

Abbreviations: DIBH, deep inspiration breath hold; DRR, digitally reconstructed radiograph; KVCBCT, Kilo‐voltage cone beam CT; MVCBCT, Mega‐voltage cone beam CT; Rx, prescription; SID, source‐imager distance; SSD, source‐skin distance; Tx, treatment.