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Journal of the ICRU 2007 7(2):141-150; doi:10.1093/jicru/ndm032
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© International Commission on Radiation Units and Measurements 2007

10 PRESCRIBING, RECORDING, AND REPORTING TREATMENT

The first 150 words of the full text of this article appear below.

10.1 INTRODUCTION

Previous sections of the present report have dealt with the development of planning aims, treatment plans, and treatment prescriptions. The present section summarizes some of this material and formulates suggestions concerning the process of prescribing, recording, and reporting of proton-therapy procedures. As discussed in Section 2, all doses should be specified as RBE-weighted absorbed doses in units of Gy (RBE).

10.2 GENERAL RECOMMENDATIONS FOR PRESCRIBING, RECORDING, AND REPORTING

10.2.1 The components of prescribing, recording, and reporting a patient's treatment
Once the goals of therapy have been determined, the information required to execute and document a patient's treatment must be accumulated and recorded. This information falls into seven categories:


1. Initial medical note History of present illness, co-morbidities, physical examination, findings on imaging and pathological studies, and general management strategy.
2. Planning aims All the information needed to plan the treatment of the patient.
3. Treatment planning The process of simulating a number of delivery strategies for a radiation treatment and choosing the best one to use for treatment
4. Treatment prescription Instructions for treatment delivery to achieve the planned dose distribution and authorization of the technical details to deliver the treatment plan
5. Technical data Data required for treatment delivery according to the treatment plan (with the prescription, treatment plan, doses and technical data approved and fixed).
6. Record of the treatment Storage of all data relevant to the patient's treatment.
7. Report(s) of the treatment For example, completion note, report to the referring and other physician(s), publications.

The relation among these categories is shown schematically in Fig. 10.1.


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  		Figure 10.1. Block diagram, summarizing the relations among the planning aims, prescription, technical data, treatment record and reports.

 
10.2.2 Planning aims
The planning aims include the desired . . . [Full Text of this Article]

10.2.2.1 Specifying planning aims
10.2.2.2 Normal-tissue constraints
10.2.2.3 Selection of treatment approach: the treatment plan
10.3 PRESCRIBING PROTON-BEAM THERAPY

10.3.1 General approaches to prescribing
10.3.2 The prescription
10.3.3 General recommendations for prescribing
10.3.4 Approval of the prescription and technical data
10.4 ADDITIONAL ASPECTS OF PRESCRIBING, RECORDING, AND REPORTING

10.4.1 Therapy equipment
10.4.2 Beam-shaping techniques
10.4.3 Techniques for dealing with heterogeneities
10.4.4 Margins
10.5 RECORDING PROTON-BEAM THERAPY

10.5.1 The treatment record
10.5.2 The patient's record
10.6 REPORTING THE TREATMENT OF A SINGLE PATIENT

10.6.1 Reporting proton-beam therapy
10.6.2 Patient-specific reports
10.6.2.1 The initial medical note
10.6.2.2 The completion note
10.6.2.3 Summary report to the referring physician
10.6.2.4 Case report
10.6.2.5 Detailed report to a physician
10.7 REPORTING PROTON-BEAM THERAPY FOR A SERIES OF PATIENTS


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