Who delineates normal structures in your department?

[mpdoc2]

Who delineates normal structures in your department?

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[thesauce]

Dosi is supposed to contour all easily identifiable normal structures. What that entails varies by dosimetrist. Really depends on disease site. For brain, we do almost everything. For thoracic: sometimes esophagus. For pelvis: rectum and occasionally small bowel.

 

[Palex80]

Dosimetrists contour eyes, spinal rectum, cord & lungs.
If we are lucky and they have dosimetrist trainee, they also contour liver & kidneys.

Parotids, chiasm, small bowel and so on are always contoured by the physicians.

I want an auto-segmentation programme do. I despise contouring liver especially!

 

[Gfunk6]

With good software, contouring normal structures is a breeze (I use auto segmentation in MIM). Also, it significantly decompresses the workload of you dosimetrist so that he/she can focus on planning instead of contouring normal structures.

However, when I was using Pinnacle it was PAINFUL to contour large normal structures like liver and I would enthusiastically agree with Palex on that.

 

[medgator]

Add esophagus to the list of structures contoured by the physician (at least for me -- the dosimetrists appreciate some help with that)

I always review/adjust normal structures as necessary after the dosimetrist contours them.