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AAPM task group report 302: Surface-guided radiotherapy.

Hania A Al-Hallaq1, Laura Cerviño2, Alonso N Gutierrez3

  • 1Department of Radiation & Cellular Oncology, University of Chicago, Chicago, Illinois, USA.

Medical Physics
|February 18, 2022
PubMed
Summary
This summary is machine-generated.

Surface-guided radiation therapy (SGRT) enhances patient positioning and motion monitoring in cancer treatment. This review provides technical guidelines for SGRT clinical use, quality assurance, and emerging applications.

Keywords:
deep inspiration breath holdframeless radiosurgeryrisk assessmentsurface guided radiotherapy

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Image-Guided Therapy

Background:

  • Clinical adoption of surface imaging for radiation therapy has rapidly expanded.
  • Surface imaging offers benefits in patient positioning, real-time motion tracking, and beam gating across various anatomical sites.
  • Existing clinical applications demonstrate the utility of surface-guided radiation therapy (SGRT).

Purpose of the Study:

  • To review current and emerging clinical applications of surface imaging in radiation therapy.
  • To provide technical guidelines for the clinical use of SGRT for general patient positioning, breast deep-inspiration breath-hold treatment, and frameless stereotactic radiosurgery.
  • To outline commissioning and quality assurance (QA) requirements for SGRT systems.

Main Methods:

  • A comprehensive review of clinical surface imaging applications was conducted by Task Group 302.
  • Technical guidelines were developed for specific SGRT indications and QA protocols.
  • Workflow considerations and emerging applications like SBRT and proton therapy were discussed.

Main Results:

  • The report details technical guidelines for SGRT in positioning, breast treatments, and frameless stereotactic radiosurgery.
  • Essential commissioning and ongoing quality assurance (QA) requirements for SGRT are provided.
  • Workflow considerations for diverse anatomical sites and CT simulation, including motion management, are addressed.

Conclusions:

  • The guidelines and recommendations are applicable to all video-based SGRT systems.
  • This report serves as a comprehensive resource for implementing and ensuring quality in SGRT.
  • Emerging clinical applications of SGRT, including SBRT and proton therapy, are presented for future development.