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The approval of portal verification images is an important component in the quality assurance of radiation therapy delivery. However, the process of approval can be cumbersome and result in delays. The time spent by staff to ensure that the approval process is completed in an appropriate fashion, is time taken away from other patient related activities. In addition, evolving changes in practice are increasing the requirement that portal verification image approval be done at the time of treatment. This process will inevitably require immediate action by radiation therapists (RT's).