Current brachytherapy quality assurance guidance: does it meet the challenges of emerging image-guided technologies?

International Journal of Radiation Oncology, Biology, Physics
J F Williamson

Abstract

In the past decade, brachytherapy has shifted from the traditional surgical paradigm to more modern three-dimensional image-based planning and delivery approaches. The role of intraoperative and multimodality image-based planning is growing. Published American Association of Physicists in Medicine, American College of Radiology, European Society for Therapeutic Radiology and Oncology, and International Atomic Energy Agency quality assurance (QA) guidelines largely emphasize the QA of planning and delivery devices rather than processes. These protocols have been designed to verify compliance with major performance specifications and are not risk based. With some exceptions, complete and clinically practical guidance exists for sources, QA instrumentation, non-image-based planning systems, applicators, remote afterloading systems, dosimetry, and calibration. Updated guidance is needed for intraoperative imaging systems and image-based planning systems. For non-image-based brachytherapy, the American Association of Physicists in Medicine Task Group reports 56 and 59 provide reasonable guidance on procedure-specific process flow and QA. However, improved guidance is needed even for established procedures such as ultrasound-guided p...Continue Reading

References

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Citations

Apr 14, 2015·Brachytherapy·Saeid AsgharizadehSlobodan Devic
Feb 14, 2015·Journal of Applied Clinical Medical Physics·Evaggelos PantelisPanagiotis Papagiannis
Feb 29, 2020·Scientific Reports·Katsunori YogoKazushige Hayakawa
Apr 14, 2016·Journal of Applied Clinical Medical Physics·Yongbok KimYusung Kim
Jun 25, 2014·Physics in Medicine and Biology·A K VidovicM Oldham

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