Adoption of respiratory motion management in radiation therapy

Burton, Alex; Beveridge, Sabeena; Hardcastle, Nicholas; Lye, Jessica; Sanagou, Masoumeh; Franich, Rick

doi:10.1016/j.phro.2022.09.003

Cited by 10 publications

(9 citation statements)

References 49 publications

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“…Narrowing the gating window of the fiducial marker increased the treatment time, whereas widening the gating window increased the risk of unplanned irradiation. Therefore, we believe that the gating window should not be fixed and that the lung tumor and individual markers should be preliminarily evaluated using 4DCT or other methods for individual patients [16] . In actual treatment, multiple fiducial markers are often implanted, and we believe that selecting an appropriate fiducial marker among all markers with few amplitude differences, in advance, can help avoid unplanned irradiation.…”

Section: Discussionmentioning

confidence: 99%

Patient-specific respiratory motion management using lung tumors vs fiducial markers for real-time tumor-tracking stereotactic body radiotherapy

Tanabe¹,

Kiritani²,

Deguchi³

et al. 2023

Physics and Imaging in Radiation Oncology

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Section: Discussionmentioning

confidence: 99%

Patient-specific respiratory motion management using lung tumors vs fiducial markers for real-time tumor-tracking stereotactic body radiotherapy

Tanabe¹,

Kiritani²,

Deguchi³

et al. 2023

Physics and Imaging in Radiation Oncology

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“…The increasing use of SABR has gone hand‐in‐hand with technical improvements. Burton et al 35 . show that motion managed treatments now most often include the use of 4DCT and VMAT.…”

Section: Discussionmentioning

confidence: 99%

“…The increasing use of SABR has gone hand-in-hand with technical improvements. Burton et al 35 show that motion managed treatments now most often include the use of 4DCT and VMAT. This agrees with our results which additionally show that SGRT is becoming more prominent.…”

Section: Staffing For Treatmentmentioning

confidence: 99%

A survey of compliance with stereotactic ablative body radiotherapy quality recommendations

2023

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Introduction: Many publications have proposed quality standards for stereotactic ablative body radiotherapy (SABR). However, data on the level of compliance with these guidelines is lacking in the literature. This study aimed to understand how these guidelines are applied in the clinic and to identify barriers to implementing such recommendations. Methods: Interviews were conducted with multidisciplinary staff at radiation oncology centres across New South Wales formulated around the RANZCR Guidelines for Safe Practice of Stereotactic Body (Ablative) Radiation Therapy. The interview responses were grouped into 20 topics, assessed against the guidelines and thematically analysed. Results: Good compliance with the guidelines was found, with more than 80% of centres achieving satisfactory results in more than half the topics. The areas with the lowest compliance were auditing, risk assessment and reporting recommendations. Barriers to the quality of SABR treatments included limited training opportunities, low patient numbers and a lack of clear requirements on comprehensive auditing and reporting. Conclusion: Overall, the centres surveyed reported good compliance with most of the RANZCR SABR guidelines. The tasks with the lowest compliance were those that monitor quality outcomes. Potential strategies for improvement include inclusion in clinical trials and the use of databases which link treatment parameters, dosimetry and outcomes. Further work will focus on the barriers identified in this survey and propose practical solutions to improve compliance in these areas.

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“…A1; Table A1 ) and previous reports of those workshops [2] , [3] , [4] , [5] , [6] , [7] . The content of these meetings, surveys and guidelines [8] , [9] , [37] , [38] , [39] , [40] , [41] , [42] , [43] and relevant articles in the field of 4D PT, mainly published within the last 3 years, built the scientific basis for identifying the way towards clinical implementation of selected motion management and 4D treatment strategies. The literature review was based on a PubMed search (status September 2023).…”

Section: Methodsmentioning

confidence: 99%

“…As an example, the ARPANSA and TG324 photon surveys showed that passive respiratory motion management with the ITV concept was more widely used than active methods [40] , [41] . Following the AAPM Task Groups TG76 and TG324 survey on motion management for photon therapy [41] , [43] , the AAPM Task Group report 290 focused exclusively on 4D PT [38] .…”

Section: Clinical Implementations Of 4d Pt Treatments Based On Intern...mentioning

confidence: 99%

A review of the clinical introduction of 4D particle therapy research concepts

Knäusl,

Belotti,

Bertholet

et al. 2024

Physics and Imaging in Radiation Oncology

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Adoption of respiratory motion management in radiation therapy

Cited by 10 publications

References 49 publications

Patient-specific respiratory motion management using lung tumors vs fiducial markers for real-time tumor-tracking stereotactic body radiotherapy

Patient-specific respiratory motion management using lung tumors vs fiducial markers for real-time tumor-tracking stereotactic body radiotherapy

A survey of compliance with stereotactic ablative body radiotherapy quality recommendations

A review of the clinical introduction of 4D particle therapy research concepts

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