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Adaptive Radiation Therapy Physician Guidelines: Recommendations From an Expert Users' Panel.
Hyun Kim1, Percy Lee2, Alison C Tree3
1Department of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Practical Radiation Oncology
|June 1, 2022
Summary
Physician sign-outs for online adaptive radiation therapy (ART) need clear guidelines. Recommendations include recontouring, replanning rules, and motion management to ensure safe treatment delivery during physician coverage.
Area of Science:
- Radiation Oncology
- Medical Physics
Background:
- Online adaptive radiation therapy (ART) enables real-time treatment adjustments for daily anatomical changes.
- Physician coverage for ART is common due to the time-intensive nature of adaptive planning.
Purpose of the Study:
- To establish critical components for physician sign-out guidelines in online adaptive radiation therapy.
- To ensure consistent and safe delivery of ART treatments when physician coverage is required.
Main Methods:
- A working group of 11 experienced radiation oncologists was formed.
- The group identified essential components for adaptive guidelines across 3 commercial ART platforms.
Main Results:
- Three key categories for safe online ART delivery were identified: recontouring instructions, replanning rules, and motion management.
- Specific considerations for recontouring and replanning were detailed.
Conclusions:
- Clear communication through physician sign-outs is vital for maintaining treatment intent in ART.
- Proposed ART recommendations can enhance communication during care transitions for this complex treatment.
