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New ASTRO white paper recommends best practices to improve safety and effectiveness of IGRT
Date:4/18/2013

ndational elements for safe and effective IGRT practices prescribed by the study are: 1) establish a multi-professional team responsible for IGRT activities; 2) establish and monitor a program of daily, monthly and annual QA for all new or existing IGRT sub-systems; 3) provide device- and process-specific training for all staff operating IGRT systems or responsible for IGRT delivery; 4) perform end-to-end testing for all new IGRT procedures and document performance prior to clinical release; 5) establish process-specific documentation and procedures for IGRT; 6) clearly identify who is responsible for approval of IGRT correction decisions and the process whereby the decision is made and documented; 7) establish and document site-specific planning procedures, specifically the procedure for defining PTV margins, and link these planning procedures to IGRT procedures; 8) multi-professional peer review of PTV volumes, and peer-review of gross tumor volume (GTV) / clinical target volume(CTV) by radiation oncologists; 9) verify proper creation and transfer of IGRT reference data (PTV, organs at risk (OARs), digitally reconstructed radiographs (DRRs), etc.) to IGRT system; and 10) establish a reporting mechanism for IGRT-related variances in the radiation treatment process.

"As technologies advance and we are able to provide patients with highly individualized radiation treatment, this white paper provides us with a thorough framework for delivering safe and effective IGRT," said David A. Jaffray, PhD, of the Radiation Medicine Program at the Princess Margaret Cancer Centre in Toronto. "In addition, it emphasizes transparency between professions and increases the awareness of all parties regarding their responsibility in achieving and maintaining safe IGRT practice."

The full text document (Supplemental Material) was approved by the ASTRO Board of Directors on June 23, 2012, and has been endorsed by the American Association of Physicists in Medicine (AA
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Contact: Michelle Kirkwood
press@astro.org
703-286-1600
American Society for Radiation Oncology
Source:Eurekalert

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