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Medical Affairs Applied Solutions ESAPI plugin toolkit: MAAS-TXIhelper (Total X Irradiation helper).

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MAAS-TXIhelper

Total X (X=Body|Marrow|Lymphoid) Irradiation helper, introduced at AAPM 2023

Please download the poster PDF to view it: Download PDF.

CT concatenation tab: working

plot

Requires Head First Supine superior series with rigid registration to inferior Feet First Supine Series in External Beam Planning

  • no plan needed
  • default CT slice thickness taken from existing scans but can be resampled
  • progress bar is accurate, could take approximately 30 minutes to complete concatenation
  • import fully merged CT series from output directory (i.e C:\Temp) when completed

Isocenter Placement tab: not yet working

  • will automatically place all beams on full body image set
  • will support single isocenter shifts head to foot (X fixed,Y fixed,Z changes)
  • will also support additional lateral shifts for wider patients (X changes,Y fixed,Z changes)

Aperture Rotation tab: working

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  • supports either: C series / TrueBeam / Halcyon / Ethos
  • copy and paste twice the complete plan created in HFS orientation with desired dose distribution head to foot
    • in one plan delete all beams/isocenters that will be treated HFS and the other plan FFS
    • DICOM export the plan that has only the inferior isocenters that is currently in the HFS orientation
  • launch this tool, click the Aperture Rotation tab, and selected the exported plan file for aperture rotation
    • after aperture rotation script completes import new plan from subdirectory
    • calculate dose with fixed MUs
    • create a plan sum with superior plan
    • dose should be identical to initial completed plan

Final Modifications tab: not yet working

  • breaks each isocenter group into separate plan, treatment approves plans and adds needed setup notes

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