A quick guide on implementing and quality assuring 3D printing in radiation oncology

Area of Science:

• Radiation Oncology
• Medical Technology
• Additive Manufacturing

Background:

• Three-dimensional (3D) printing is increasingly adopted in radiation oncology, necessitating robust implementation strategies.
• A gap exists in literature regarding general considerations for establishing 3D printing processes and quality assurance (QA) in radiation oncology departments.
• This review addresses the need for comprehensive guidance on integrating 3D printing into clinical practice.

Approach:

• Provides recommendations on 3D printing equipment, software, workflow, and QA for radiation oncology.
• Focuses on point-of-care (POC) in-house printing, with a brief mention of outsourcing options.
• Draws upon existing literature and practical experience to inform guidance.

Key Points:

• Highlights key applications including patient-specific bolus, high-dose-rate (HDR) surface brachytherapy applicators, and phantom fabrication.
• Discusses essential aspects of process establishment and ongoing quality assurance (QA) for 3D printing in clinical settings.
• Addresses cost considerations associated with 3D printing implementation.

Conclusions:

• Offers a framework for radiation oncology departments to effectively utilize 3D printing technology.
• Aims to facilitate the routine clinical application and future development of 3D printing in the field.
• Emphasizes the importance of strategic planning and QA for successful 3D printing integration.