- Title
- Surface guided radiation therapy: An international survey on current clinical practice
- Creator
- Batista, V.; Gober, M.; Steiner, E.; Al-Hallaq, H.; Lehmann, J.; Moura, F.; Webster, A.; Oellers, M.; Ramtohul, M.; Kügele, M.; Freislederer, P.; Buschmann, M.; Anastasi, G.
- Relation
- Technical Innovations and Patient Support in Radiation Oncology Vol. 22, p. 1-8
- Publisher Link
- http://dx.doi.org/10.1016/j.tipsro.2022.03.003
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2022
- Description
- Introduction: Surface Guided Radiation Therapy (SGRT) is being increasingly implemented into clinical practice across a number of techniques and irradiation-sites. This technology, which is provided by different vendors, can be used with most simulation- and delivery-systems. However, limited guidelines and the complexity of clinical settings have led to diverse patterns of operation. With the aim to understand current clinical practice a survey was designed focusing on specifics of the clinical implementation and usage. Materials and methods: A 32-question survey covered: type and number of systems, quality assurance (QA), clinical workflows, and identification of strengths/limitations. Respondents from different professional groups and countries were invited to participate. The survey was distributed internationally via ESTRO-membership, social media and vendors. Results: Of the 278 institutions responding, 172 had at least one SGRT-system and 136 use SGRT clinically. Implementation and QA were primarily based on the vendors’ recommendations and phantoms. SGRT was mainly implemented in breast RT (116/136), with strong but diverse representation of other sites. Many (58/135) reported at least partial elimination of skin-marks and a third (43/126) used open-masks. The most common imaging protocol reported included the combination of radiographic imaging with SGRT. Patient positioning (115/136), motion management (104/136) and DIBH (99/136) were the main applications. Main barriers to broader application were cost, system integration issues and lack of demonstrated clinical value. A lack of guidelines in terms of QA of the system was highlighted. Conclusions: This overview of the SGRT status has the potential to support users, vendors and organisations in the development of practices, products and guidelines.
- Subject
- survey; Surface Guided Radiation Therapy (SGRT); clinical practices; surface-guided; motion management
- Identifier
- http://hdl.handle.net/1959.13/1487551
- Identifier
- uon:52175
- Identifier
- ISSN:2405-6324
- Rights
- x
- Language
- eng
- Reviewed
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