“…Participating radiation oncologists are trained on the definition of IF-RT on GHSG meetings and on the annual meetings of the DEGRO. The introduction of teleradiotherapy [9] into the GHSG trials improves the dialogue between the RT reference center and study centers and thus contributes to high RT quality for study patients.…”
Section: Resultsmentioning
confidence: 99%
“…A facility for central online documentation was installed. Telemedical functions were successfully integrated into the ongoing RT QAP [9]. Since the introduction of a teleradiotherapeutic workstation in the RT reference center in Cologne in January 2001, the images of 10% (856 patients) of all reviewed cases of the ongoing HD10-15 trials were delivered digitally.…”
Section: Initiation and Integration Of Teleradiotherapy Into The Ghsgmentioning
Today, radiation oncologists in the GHSG perform a continuous and efficient QAP to improve treatment quality of study patients. For early favorable and unfavorable HL a central prospective review of all diagnostic imaging is performed by expert radiation oncologists to control the disease extension and to define the IF treatment volume. Retrospective analysis of RT portals by an expert panel detects faults in the applied irradiation. Participants are trained on the definition of IF-RT by workshops on the occasion of annual GHSG meetings and on the annual meetings of the German Society of Therapeutic Radiation Oncology (DEGRO). For the advanced stages a multidisciplinary panel evaluates the treatment response to chemotherapy. Patients with a poor response receive additional RT due to the panel's recommendation. The introduction of teleradiotherapy into the GHSG trials improves the dialogue between the central RT reference center and study participants and thus contributes to high RT quality for study patients.
“…Participating radiation oncologists are trained on the definition of IF-RT on GHSG meetings and on the annual meetings of the DEGRO. The introduction of teleradiotherapy [9] into the GHSG trials improves the dialogue between the RT reference center and study centers and thus contributes to high RT quality for study patients.…”
Section: Resultsmentioning
confidence: 99%
“…A facility for central online documentation was installed. Telemedical functions were successfully integrated into the ongoing RT QAP [9]. Since the introduction of a teleradiotherapeutic workstation in the RT reference center in Cologne in January 2001, the images of 10% (856 patients) of all reviewed cases of the ongoing HD10-15 trials were delivered digitally.…”
Section: Initiation and Integration Of Teleradiotherapy Into The Ghsgmentioning
Today, radiation oncologists in the GHSG perform a continuous and efficient QAP to improve treatment quality of study patients. For early favorable and unfavorable HL a central prospective review of all diagnostic imaging is performed by expert radiation oncologists to control the disease extension and to define the IF treatment volume. Retrospective analysis of RT portals by an expert panel detects faults in the applied irradiation. Participants are trained on the definition of IF-RT by workshops on the occasion of annual GHSG meetings and on the annual meetings of the German Society of Therapeutic Radiation Oncology (DEGRO). For the advanced stages a multidisciplinary panel evaluates the treatment response to chemotherapy. Patients with a poor response receive additional RT due to the panel's recommendation. The introduction of teleradiotherapy into the GHSG trials improves the dialogue between the central RT reference center and study participants and thus contributes to high RT quality for study patients.
“…In general, radiation oncologists have attempted to address this problem by constructing a tiered system for teleradiotherapy which consolidates the most complex treatments at tertiary referral centers, but allows for treatment planning and relatively simple treatment protocols at remote centers [47,48]. Success with this approach has been reported by centers in Norway [49], Japan [50], Germany [51] and Switzerland [48]. Importantly for the treatment of gynecologic cancers, remote coordination of external beam therapy may be more feasible than remote coordination of brachytherapy.…”
Section: Adjuvant Therapies: Chemotherapy and Radiotherapymentioning
“…Stage I, IIa Without RF a-d; IIB with RF c, d risk of treatment failure [5,8,11,21]. Although the radiotherapy study centers got a precise radiotherapy prescription in the trials HD10 and HD11, the radiotherapy reference panel evaluated that most difficulties (40%) occurred in the adequate coverage of the IF as defined in the study protocol [4,12].…”
The concept of IN radiotherapy has been proposed as a means to further improve the therapeutic ratio by reducing the risk of radiation-induced toxicity, including second malignancies. Field sizes wiLL further decrease compared to IF radiotherapy.
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