TABLE 6.
Section | Recommended | Optional |
---|---|---|
General |
Hospital/location Print date or date of service Planning system (version) |
Page numbers Plan creation/revision date Planner/staff |
Demographics | Patient name/MRN | Date of birth/gender |
Prescription/Written directive on plan document |
Target Anatomic Site Dose Fractionation Prescription method/plan normalization method |
Course/diagnosis identifier Planner/physician approval/date |
Plan Summary |
Machine identifier Energy, photon/electron Beam names/IDs Gantry angles Collimator angles and sizes RX and normalization MUs per beam Couch angles |
|
Additional Plan info |
Isocenter location Patient or couch shifts Planning CT date/scanner ID Patient orientation (head first/supine) Ref. points/points of interest with location/dose/type |
Name of CT density table Import log Plan UID Composite plan information IEC convention |
Dose calculation |
Method (eg, convolution, AAA, Monte Carlo, etc.) Normalization method Heterogeneity corrections (Y/N) Grid resolution/size Tissue density override Warning messages |
|
DRRs/Beams eye views (For 3D treatment fields) |
Wedge direction in graphical display Patient orientation Beam ID and direction Beam shapes (jaw and MLC) with scale Target contours Critical OAR contour(s) Bolus placement with skin render |
|
Images with Isodose |
Absolute isodose lines with selected target and OARs contours Prescription isodose level(s) Isocenter point or its location Location of Maximum dose or hot spots Patient orientation Slice number |
|
DVHs (when appropriate) |
Structure names Defined dose goal to each structure (Volume, minimum dose, maximum dose, mean dose, etc.) DVHs |
Abbreviations: AAA, Anisotropic analytical algorithm; DVHs, dose‐volume histograms; MRN, Medical record number; OARs, Organs at risk; UID, Unique identification number.