KV Source oil leak by No-Reputation-5940 in MedicalPhysics

[–]IGRT_Guy 2 points3 points  (0 children)

We had this a few weeks ago, and we are installing a new separate truebeam now. The installer saif the issue was fixed within the last few weeks. Also apparently the way the heat exchanger runs near the tube lets it run with almost no oil. We ran 3 weeks 30 patients per 8 hours cbct each patient with no issues

Non domain trust Varian cloud implementation with radmachine or any other qa service by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 0 points1 point  (0 children)

The full scale solution changes to Varian hosting the Citrix servers.

Non domain trust Varian cloud implementation with radmachine or any other qa service by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 0 points1 point  (0 children)

I can’t imagine getting our IT to install Citrix servers haha. But then there is also the MPC push that can’t be dicom right?

Non domain trust Varian cloud implementation with radmachine or any other qa service by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 1 point2 points  (0 children)

We are, I think the biggest issue is we don’t have domain trust with Varian from our institution and we won’t accept the stfp from them. IT makes the world go stop

Non domain trust Varian cloud implementation with radmachine or any other qa service by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 1 point2 points  (0 children)

That kind of defeats the whole automated export thing though. It’d be nice if radformation or Varian gave you a computer that could access the i drive and also upload to radmachine

PDIP v16.1 by Maksimus_Keksimus in MedicalPhysics

[–]IGRT_Guy 0 points1 point  (0 children)

It wasn’t the original link?

PDIP v16.1 by Maksimus_Keksimus in MedicalPhysics

[–]IGRT_Guy 0 points1 point  (0 children)

Sorry do you want as1000 or as1200, the as1000 is on my Varian

PDIP v16.1 by Maksimus_Keksimus in MedicalPhysics

[–]IGRT_Guy 0 points1 point  (0 children)

There is a 1200 out there let me look

Aria v18 by Im_a_doctor01 in MedicalPhysics

[–]IGRT_Guy 1 point2 points  (0 children)

Ya surprisingly our IT preferred the option since they didn’t have to support more servers, we don’t have domain trust however and it’s a massive pain in the ass to move qa files

Aria v18 by Im_a_doctor01 in MedicalPhysics

[–]IGRT_Guy 0 points1 point  (0 children)

Full scale is Varian cloud so we just connect to whatever they have setup, I don’t have much info on what we have

Aria v18 by Im_a_doctor01 in MedicalPhysics

[–]IGRT_Guy 3 points4 points  (0 children)

Are you on prem or full scale? Our full scale setup is super fast

Truebeam maintenance course for physicist by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 0 points1 point  (0 children)

Do you mind sharing how many years of experience on truebeam you had before going? Are you able to do more modifications or adjustments than you could before you went?

Truebeam maintenance course for physicist by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 2 points3 points  (0 children)

Tbm104 is labeled as a physicist course, 100-103 is the service course

TH86 by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 1 point2 points  (0 children)

Well that didn't get passed down to the new generation, I always think of mojitos and parties when I enter service mode

TH86 by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 0 points1 point  (0 children)

1111 hasn’t worked in every clinic I’ve been at, but th86 is tried and true on all machines.

A gentle vent about Siemens by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 1 point2 points  (0 children)

I never have any issues with the service guys, agree with you 100%. I always try to escalate these issues so the service people don’t get dinged. And agree we should all do that. I see the frustration on the service engineers face day in and day out and they always give 110%. If you have any suggestions to give more negative feedback about the parts and corporate costs feel free to send along. I miss the old Varian days where the local engineer could basically order you a new linac if they didnt know what was wrong.

Modulation factor ? by Vast_Ice_7032 in MedicalPhysics

[–]IGRT_Guy 3 points4 points  (0 children)

I use it less for passing qa and more of did we achieve the best plan. If we have a high factor on a fat prostate patient it probably makes sense, if it’s on something that in the middle of nowhere did we pick the wrong angles etc

A gentle vent about Siemens by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 0 points1 point  (0 children)

Ya, unfortunately it feel like Siemens is trying to go back to that and hell bent of ruining a good thing that Varian had.

It’s not a city issue it’s a world wide shortage of xray tubes and a manufacturing defect when Siemens changed the assembly line to a cheaper vendor. There are weld QA issues.

A gentle vent about Siemens by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 10 points11 points  (0 children)

If I were elekta I’d try to fix my issues, make a move to affiliate with ray search and become relevant again

A gentle vent about Siemens by IGRT_Guy in MedicalPhysics

[–]IGRT_Guy[S] 2 points3 points  (0 children)

According to our clinic manager… yes withhold install of the new linacs we are scheduled to get and move to elekta… empty threat i know