Quality and Safety Considerations in Image Guided Radiation Therapy: An ASTRO Safety White Paper Update

Area of Science:

• Radiation Oncology
• Medical Physics
• Patient Safety

Background:

• Image-guided radiation therapy (IGRT) has evolved significantly since previous white papers.
• IGRT is now widely adopted beyond specialized treatments into routine clinical practice.
• Increased use necessitates a continued focus on quality and patient safety protocols.

Purpose of the Study:

• To update consensus-based recommendations on IGRT, focusing on patient safety.
• To address the expanded use of IGRT across various treatment techniques and sites.
• To provide guidance on quality and safety considerations for current IGRT practices.

Main Methods:

• An interdisciplinary task force reviewed and updated the existing IGRT white paper.
• Consensus-building methodology was employed, with recommendations rated on a Likert scale.
• Consensus was defined as ≥75% agreement among task force members.

Main Results:

• IGRT requires a multidisciplinary team, specialized technology, and adequate resources.
• Feasibility analysis and personnel discussion are crucial before implementing new imaging techniques.
• A comprehensive quality assurance program is essential for safe and effective IGRT delivery.

Conclusions:

• Regular review and updates of IGRT practice guidelines are necessary.
• Collaboration among professional organizations, regulators, vendors, and users is vital for patient safety.
• Patient safety in IGRT is a shared responsibility across all stakeholders.