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SBAR II: Application of SBAR

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ACR-ARS Practice Parameter for the Performance of Stereotactic Body Radiation Therapy.

Samuel T Chao¹, Aviva Berkowitz², Eleanor E R Harris³

¹Department of Radiation Oncology, Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland.

American Journal of Clinical Oncology

|June 23, 2025

Summary

This practice parameter provides guidance on stereotactic body radiation therapy (SBRT), a precise radiation technique. It covers workflow, personnel, quality control, and treatment delivery for physicians and physicists.

Keywords:

guidelines practice parameters quality stereotactic body radiation therapy

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Area of Science:

Radiation Oncology
Medical Physics

Background:

Stereotactic body radiation therapy (SBRT) offers precise, high-dose radiation delivery in limited fractions.
The complexity of SBRT necessitates clear practice parameters for safe and effective implementation.

Purpose of the Study:

To provide updated practice parameters for stereotactic body radiation therapy (SBRT).
To guide physicians and physicists in the application of SBRT.

Main Methods:

Revised practice parameter developed collaboratively by the American College of Radiology (ACR) and American Radium Society (ARS).
Adherence to the established ACR process for developing practice parameters and technical standards.

Main Results:

Key elements of SBRT workflow, personnel qualifications, quality control, and treatment delivery are reviewed.
Essential SBRT components include image guidance, immobilization, and motion management.
Treatment planning emphasizes minimizing normal tissue dose and maximizing target dose safely.

Conclusions:

This parameter offers direction on recommended SBRT components.
Serves as a guide for healthcare professionals implementing SBRT.