Streamlined, guided on-couch adaptive workflow

A system for implementing user checkpoints in an automated adaptive radiation therapy session, the automated adaptive radiation therapy session including a series of automated steps to generate a treatment plan for a current treatment session of a patient, the automated steps being guided by a set of previously determined treatment directives, the system comprising:

• a computer processing system configured to:
• access the set of previously determined treatment directives for the patient;
• obtain a treatment session image of the patient;
• prompt the user to:
• select one or more influencer structures from a list of influencer structures contained in the set of treatment directives;
• initiate delineation of the selected influencer structures on the treatment session image;
• and
• evaluate the delineated influencer structures on the treatment session image;
• display a plurality of options to the user on a display device, the options including an option to accept the delineated influencer structures;
• obtain a reference image of the patient from the set of treatment directives;
• prompt the user to:
• initiate propagation of selective structures included in the reference image onto the treatment session image upon acceptance of the delineated influencer structures;
• and
• evaluate the propagated structures;
• display a plurality of options to the user, the options including an option to accept the propagated structures;
• prompt the user to:
• initiate generation of a first treatment plan upon acceptance of the propagated structures;
• and
• evaluate the generated first treatment plan;
• and
• display to the user a plurality of options that the user can select from based on the evaluation of the generated first treatment plan, the plurality of options including an option to select the first treatment plan as the treatment plan for a current treatment session of the patient, an option to generate a second treatment plan, and an option to select a contingency treatment plan for the current treatment session of the patient.

A non-transitory computer readable storage medium upon which is embodied a sequence of programmed instructions for implementing user checkpoints in an automated adaptive radiation therapy session, the automated adaptive radiation therapy session including a series of automated steps to generate a treatment plan for a current treatment session of a patient, the automated steps being guided by a set of previously determined treatment directives, which sequence of programmed instructions, when executed, causes a computer processing system to execute the following steps:

• access the set of previously determined treatment directives for the patient;
• obtain a treatment session image of the patient;
• prompt the user to:
• select one or more influencer structures from a list of influencer structures contained in the set of treatment directives;
• initiate delineation of the selected influencer structures on the treatment session image;
• and
• evaluate the delineated influencer structures on the treatment session image;
• display a plurality of options to the user on a display device, the options including an option to accept the delineated influencer structures;
• obtain a reference image of the patient from the set of directives;
• prompt the user to:
• initiate propagation of selective structures included in the reference image onto the treatment session image upon acceptance of the delineated influencer structures;
• and
• evaluate the propagated structures;
• display a plurality of options to the user, the options including an option to accept the propagated structures;
• prompt the user to:
• initiate generation of a first treatment plan upon acceptance of the propagated structures;
• and
• evaluate the generated first treatment plan;
• and
• display to the user a plurality of options that the user can select from based on the evaluation of the generated first treatment plan, the plurality of options including an option to select the first treatment plan as the treatment plan for a current treatment session of the patient, an option to generate a second treatment plan, and an option to select a contingency treatment plan for the current treatment session of the patient.