PerFRACTION™ listens for and captures your pre-treatment and in-vivo QA data for each patient, processes and analyzes that data, and saves the results to the database. Failed result notifications are automatically emailed to you. Simply log in, view a dashboard of results, and drill down as desired. Trend any piece of data against any other piece of data. It is that simple, and that powerful.
On an intuitive interface, review multiple analysis methods and quantify the impact of any treatment variation on clinical goals. Because PerFRACTION is a web application, y ou can access this powerful resource from any browser within your clinical network.
Fraction 0™ 3D Pre-Treatment QA
IMRT QA with the independence and peace of mind of EPID measurements, or using log file data
Fraction n™ 3D In-Vivo Monitoring
QA for every treatment fraction to catch the most common types of errors — those associated with the patient — as well as machine errors.
Evaluate meaningful metrics in both Fraction 0 and Fraction n with Clinical Goals
Now Including DoseCHECKTM
The PerFRACTION Dashboard summarizes all fractions for each machine for a given time period. The Patient List provides a complete list of patients, with easy to interpret clinical workflow phases and pass/fail status.
Selecting a patient presents a summary of all QA results, shown as Events, for that patient, including DoseCHECK, Fraction 0, and Fraction n. Select any E vent to view and investigate point dose, 2D and 3D results for that Event.
Results for a 2D QA task, automatically calculated for each beam and compared to the baseline image using pre-defined analysis settings. Select different beams and results update.Note: 2D planar analysis is only available from EPID image data
Results for a 3D QA task, automatically calculated onto patient anatomy and compared to the plan dose using pre-defined analysis settings. Scrutinize results based on 3D gamma per plan or structure.
Create trend graphs from any test result and easily compare trends on a single graph.
Compare 3D dose outcomes to Clinical Goals with two levels of comparison: Ideal and Acceptable. Use pre-defined clinical goal templates, customize, or create your own. Track Clinical Goals from secondary dose calculation (DoseCHECK) through pre-treatment QA, through to each delivered fraction.
Use overall 3D Gamma analysis as a pass/fail criterion in addition or independent of Clinical Goal analysis.
Compare patient QA results across any number of machines. Easy to read graphs display trend lines relative to custom tolerances.
|Specification||When EPID Data is Used||When Log File Data is Used|
|Meets Reimbursement Requirements:||Yes||Both ASTRO and ACR guidelines require a ‘Physical Measurement’ to a phantom or equivalent for reimbursement. Thus, use of the log files alone with an advanced 3D dose calculation does not meet this requirement. Clinics seeking to use this pathway as their only patient-specific QA are strongly advised to get approval from their specific payor before proceeding with this approach.|
|Pre-Treatment IMRT QA:||Yes||Yes|
|Supports all Treatment Modalities:||Yes||Yes|
|Compatibility:||ARIA, MOSAIQ with Varian and Elekta Linacs||ARIA, MOSAIQ with Varian and Elekta Linacs|
|Independent MLC Measurement:||Yes||No|
|Detects Patient Setup Errors:||Yes||Sometimes - When dose is calculated on daily CBCT|
|Detects Patient Anatomy Changes:||Yes||Sometimes - When dose is calculated on daily CBCT|
|Detects Output Fluctuations:||Yes||Yes|
|Detects Machine MLC, Jaws/Collimator Errors:||Yes||Sometimes - Some publications conclude log files are not consistently accurate in reporting MLC positional errors|