Credentialing Requirements:

Each Radiation Oncologist and Physicist team must complete the credentialing process before a patient can be placed on the protocol (See Section 5.1 of the protocol). Once the team has met the minimum requirements for credentialing, a letter will be sent to the Radiation Oncologist from NSABP informing them that they have successfully completed the credentialing process and can begin placing patients on the study.

  • Each Radiation Oncologist and Physicist team at an institution must complete the PBI QA Knowledge Assessment and Facility Questionnaires and complete the benchmark case for each PBI technique for which the institution wants to be credentialed. (Note: If a Radiation Oncologist at the same institution has been credentialed previously, then all subsequent Radiation Oncologists need ONLY to complete the PBI QA Knowledge Assessment Questionnaire and Sections I and II of the PBI Facility Questionnaire.)

Questionnaires:

  • PBI QA Knowledge Assessment Questionnaire (complete online or mail/email Microsoft Word document)
  • PBI Facility Questionnaire (complete online or mail/email Microsoft Word document)

Benchmark Cases: For each PBI technique (3D CRT, MammoSite or Multi-Catheter) for which an institution would like to be credentialed, the specific benchmark case must be planned per protocol and submitted electronically to the ITC (see below on How to Submit Digital Data). A completed PBI data form (either 3D CRT or MammoSite/Multi-Catheter) must be completed and a hard copy of the plan, including isodose lines, must also be mailed to IROC Houston at: 8060 El Rio, Houston, TX 77054

Click on one of the treatment planning systems listed below to download the proper CT image set.

  • Philips Pinnacle
  • CMS XiO
  • All other treatment planning systems

How to Submit Digital Data (click on links to download procedures):

  • Digital Data Submission Procedures
  • Digital Data Submission Information Form
  • ATC Compliant Treatment Planning Systems

QA Scoring Criteria (under construction)

Structure Names (under construction)

Protocol Text (PDF)

Consent Form (PDF)

Philips Pinnacle users:

Below are the 3 PBI benchmark cases, which have been saved as UNIX files. This enables all Pinnacle users to import the CT image sets into their treatment planning systems. These data sets can be restored as is on a Pinnacle workstation by using the Pinnacle Launch Pad Restore utility. No physics data are included with this archive so it can be restored into an existing institution. The user will need to select his or her own CT table when first opening the plan.

Multi-Catheter (52 CT images.) The GTV can be found on slices 150.43 cm through 153.13 cm.

PBI – Multi-Catheter Dosimetry Summary (complete online or mail/email Microsoft Word document).

MammoSite (90 CT images.)

PBI – MammoSite Dosimetry Summary (complete online or mail/email Microsoft Word document).

3D-CRT (130 CT images.) The GTV can be found on slices 14.32 cm through 17.32 cm.

PBI – 3D CRT Dosimetry Summary (complete online or mail/email Microsoft Word document)

1.The following data are to be submitted digitally

  1. CT images
  2. Protocol-compliant structures
  3. Beam geometry or brachytherapy source parameters
  4. 3D dose distributions (absolute dose) for all fraction groups
  5. DVHs for the total dose plan

2.For each benchmark case submitted the institution must complete and submit the PBI – 3D CRT Dosimetry Summary, the PBI – MammoSite/Multi-Catheter Dosimetry Summary (found above), as well as submit the plan and isodose plots in hard copy. Everything can be submitted via email, fax, snail mail or through the IROC Houston website at

CMS XiO users:

DISCLAIMER: these patients are provided as a convenience to XiO users for the sole purposes of obtaining credentials for the Breast protocol. CMS makes no claims as to the accuracy of the image or structure data – neither spatial nor density information. These CT data sets are compatible with XiO 4.2.0 and later.

Below are the 3 PBI benchmark cases, which have been saved as tar files. Each tar file contains one XiO patient. The patients have been stored at the XiO patient directory level using XiO 4.2.0 and should be “untarred” in this directory (instructions below).

To unload from the CD,

Log on as root

Type /Focus/bin/mount_cdrom

cd to the XiO clinic in which you wish to develop the plans (e.g. cd /Focus/rtp1/1)

cd patient (this puts you in the patient directory)

cp /cdrom/XiO*.tar . (copies the tar files from the CD to your disk)

ls –la *.tar (confirm the load from CD; lists the tar files in the patient directory)

If you see the 3 tar files, unmount the CD as follows….

/Focus/bin/unmount_cdrom

eject

To unload the patients into the clinic…

Tar –xvf XiORPC3DCRT.tar (untars the first patient, RPC1)

Repeat this last line as needed for the other tar file names (XiORPCMammosite.tar or XiORPCMulticath.tar)

Log out of root and check that you can open each patient inside XiO.

Multi-Catheter (52 CT images.) The GTV can be found on slices 150.43 cm through 153.13 cm.

PBI – Multi-Catheter Dosimetry Summary (complete online or mail/email Microsoft Word document).

MammoSite (90 CT images.)

PBI – MammoSite Dosimetry Summary (complete online or mail/email Microsoft Word document).

3D-CRT (130 CT images.) The GTV can be found on slices 14.32 cm through 17.32 cm.

PBI – 3D CRT Dosimetry Summary (complete online or mail/email Microsoft Word document)

1.The following data are to be submitted digitally

  1. CT images
  2. Protocol-compliant structures
  3. Beam geometry or brachytherapy source parameters
  4. 3D dose distributions (absolute dose) for all fraction groups
  5. DVHs for the total dose plan

2.For each benchmark case submitted the institution must complete and submit the PBI – 3D CRT Dosimetry Summary, or the PBI – MammoSite/Multi-Catheter Dosimetry Summary (found above), as well as submit the plan and isodose plots in hard copy. Everything can be submitted via email, fax, snail mail or through the IROC Houstonwebsite at

All other Treatment Planning users:

Below are the 3 PBI benchmark cases. When you click on the benchmark case it will ask you where you would like to save the data files. Once the files are downloaded import the DICOM image set into the treatment planning system.

Multi-Catheter (52 CT images.) The GTV can be found on slices 150.43 cm through 153.13 cm.

PBI – Multi-Catheter Dosimetry Summary (complete online or mail/email Microsoft Word document).

MammoSite (90 CT images.)

PBI – MammoSite Dosimetry Summary (complete online or mail/email Microsoft Word document).

3D-CRT (130 CT images.) The GTV can be found on slices 14.32 cm through 17.32 cm.

PBI – 3D CRT Dosimetry Summary (complete online or mail/email Microsoft Word document)

1.The following data are to be submitted digitally

  1. CT images
  2. Protocol-compliant structures
  3. Beam geometry or brachytherapy source parameters
  4. 3D dose distributions (absolute dose) for all fraction groups
  5. DVHs for the total dose plan

2.For each benchmark case submitted the institution must complete and submit the PBI – 3D CRT Dosimetry Summary, the PBI – MammoSite/Multi-Catheter Dosimetry Summary (found above), as well as submit the plan and isodose plots in hard copy. Everything can be submitted via email, fax, snail mail or through the IROC Houstonwebsite at .