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Updated: Nov 10, 2025

Irradiator Commissioning and Dosimetry for Assessment of LQ α and β Parameters, Radiation Dosing Schema, and in vivo Dose Deposition
Published on: March 11, 2021
Quality assurance in radiation oncology
Thomas J FitzGerald1, David Followill2, Fran Laurie1
1Imaging and Radiation Oncology Core Rhode Island, Lincoln, Rhode Island.
The Children's Oncology Group (COG) and the International Society of Pediatric Oncology (SIOP) are implementing robust quality assurance programs. These initiatives ensure accurate cancer treatment delivery and reliable clinical trial data for pediatric patients.
Area of Science:
- Oncology
- Radiation Oncology
- Medical Imaging
Background:
- The Children's Oncology Group (COG) utilizes a strong quality assurance (QA) program managed by the Imaging and Radiation Oncology Core (IROC).
- The International Society of Pediatric Oncology (SIOP) has faced challenges with reliable online data platforms for QA.
- The European Society for Paediatric Oncology (SIOPE) quality and excellence in radiotherapy and imaging for children and adolescents with cancer across Europe in clinical trials (QUARTET) program offers QA review for prospective trials.
Purpose of the Study:
- To highlight the established QA programs in pediatric oncology clinical trials.
- To address the need for standardized QA in international pediatric cancer research.
- To emphasize the commitment of COG and SIOP to uniform treatment execution and data validity.
Main Methods:
- COG's IROC program involves credentialing centers and real-time case management for target definition and radiation delivery.
- SIOP's QA efforts are supported by the QUARTET program for prospective clinical trials.
- Focus on protocol compliance in radiation oncology and imaging for pediatric cancer patients.
Main Results:
- COG's IROC program ensures protocol-compliant target definition and radiation delivery.
- SIOP's QUARTET program provides QA review for European pediatric clinical trials.
- Both organizations are committed to enhancing QA for pediatric oncology trials.
Conclusions:
- Robust quality assurance programs are essential for pediatric oncology clinical trials.
- Standardized QA ensures uniform treatment and valid data for research analysis.
- Collaboration and advanced platforms are key to improving QA in international pediatric cancer research.
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