ASTRO white paper recommends particular guidance to follow in the delivery of HDR brachytherapy The American Society for Radiation Oncology has issued a fresh white paper, A review of safety, quality management, and practice guidelines for high-dose-rate brachytherapy, that recommends specific guidance to check out in the delivery of high-dose-rate brachytherapy to improve quality and patient safety, based on the manuscript published in the March-April 2014 print issue of Practical Radiation Oncology , the official clinical practice journal of ASTRO. The executive summary and supplemental material are also obtainable as open-access articles on-line at Commissioned by ASTRO's Board of Directors as part of the Target Safely marketing campaign, the light paper evaluates the existing practice and safety guidance for HDR brachytherapy, makes recommendations for assistance applications to the delivery of HDR brachytherapy, suggests topics where additional guidance is examines and needed the adequacy of general physics, quality assurance and clinical guidance available for the most typical treatment sites in regards to to patient basic safety silagra .
The manuscript recommends the four major categories for thought in assuring safe, high-quality radiation therapy using IGRT systems as: 1) commissioning and continuing quality assurance of the systems; 2) protocols for image acquisition and interpretation; 3) the hyperlink between image guidance practices and PTV margin; and 4) education, schooling and recruiting. The 10 foundational elements for effective and safe IGRT practices prescribed by the analysis are: 1) set up a multi-professional team responsible for IGRT actions; 2) establish and monitor a program of daily, annual and regular QA for new or existing IGRT sub-systems; 3) provide device – and process-specific teaching for all personnel operating IGRT systems or in charge of IGRT delivery; 4) perform end-to-end testing for all new IGRT techniques and document performance ahead of clinical launch; 5) establish process-particular documentation and methods for IGRT; 6) clearly identify who is in charge of approval of IGRT correction decisions and the procedure whereby the decision is manufactured and documented; 7) establish and document site-specific arranging procedures, specifically the task for defining PTV margins, and link these setting up procedures to IGRT techniques; 8) multi-professional peer overview of PTV volumes, and peer-review of gross tumor volume / clinical target volume by radiation oncologists; 9) verify correct creation and transfer of IGRT reference data , digitally reconstructed radiographs , etc.) to IGRT system; and 10) set up a reporting system for IGRT-related variances in the radiation treatment procedure.