Surface guided radiation therapy: An international survey on current clinical practice.
Batista, V Gober, M Moura, F Webster, A Oellers, M Ramtohul, M Kügele, M Freislederer, P Buschmann, M Anastasi, G
Batista, V
Gober, M
Moura, F
Webster, A
Oellers, M
Ramtohul, M
Kügele, M
Freislederer, P
Buschmann, M
Anastasi, G
Abstract
Introduction: Surface Guided Radiation Therapy (SGRT) is being increasingly implemented into clinical practice across a number of techniques and irradiation-sites. This technology, which is provided by different vendors, can be used with most simulation- and delivery-systems. However, limited guidelines and the complexity of clinical settings have led to diverse patterns of operation. With the aim to understand current clinical practice a survey was designed focusing on specifics of the clinical implementation and usage.
Materials and methods: A 32-question survey covered: type and number of systems, quality assurance (QA), clinical workflows, and identification of strengths/limitations. Respondents from different professional groups and countries were invited to participate. The survey was distributed internationally via ESTRO-membership, social media and vendors.
Results: Of the 278 institutions responding, 172 had at least one SGRT-system and 136 use SGRT clinically. Implementation and QA were primarily based on the vendors' recommendations and phantoms. SGRT was mainly implemented in breast RT (116/136), with strong but diverse representation of other sites. Many (58/135) reported at least partial elimination of skin-marks and a third (43/126) used open-masks. The most common imaging protocol reported included the combination of radiographic imaging with SGRT. Patient positioning (115/136), motion management (104/136) and DIBH (99/136) were the main applications.Main barriers to broader application were cost, system integration issues and lack of demonstrated clinical value. A lack of guidelines in terms of QA of the system was highlighted.
Conclusions: This overview of the SGRT status has the potential to support users, vendors and organisations in the development of practices, products and guidelines.
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Date
2022-03-30
Type
Article
Subject
Haematology
Collections
Citation
Batista V, Gober M, Moura F, Webster A, Oellers M, Ramtohul M, Kügele M, Freislederer P, Buschmann M, Anastasi G, Steiner E, Al-Hallaq H, Lehmann J. Surface guided radiation therapy: An international survey on current clinical practice. Tech Innov Patient Support Radiat Oncol. 2022 Mar 30;22:1-8. doi: 10.1016/j.tipsro.2022.03.003
Journal / Source Title
Technical Innovations & Patient Support in Radiation Oncology
DOI
10.1016/j.tipsro.2022.03.003
PMID
35402740
Publisher
Elsevier
Publisher’s URL
http://www.sciencedirect.com/science/journal/24056324