Evidence-based Peer Review for Radiation Therapy - Updated Review of the Literature with a Focus on Tumour Subsite and Treatment Modality

Clinical Oncology : a Journal of the Royal College of Radiologists
M HuoM B Pinkham

Abstract

Technological advances in radiation therapy permit steep dose gradients from the target to spare normal tissue, but increase the risk of geographic miss. Suboptimal target delineation adversely affects clinical outcomes. Prospective peer review is a method for quality assurance of oncologists' radiotherapy plans. Published surveys suggest it is widely implemented. However, it may not be feasible to review every case before commencement of radiation therapy in all departments. The rate of plan changes following peer review of cases without a specific subsite or modality is typically around 10%. Stereotactic body radiation therapy, head and neck, gynaecological, gastrointestinal, haematological and lung cases are associated with higher rates of change of around 25%. These cases could thus be prioritised for peer review. Other factors may limit peer review efficacy including organisational culture, time constraints and the physical environment in which sessions are held. Recommendations for peer review endorsed by the American Society for Radiation Oncology were made available in 2013, but a number of relevant studies have been published since. Here we review and update the literature, and provide an updated suggestion for the imp...Continue Reading

Citations

Apr 25, 2020·Journal of Medical Imaging and Radiation Oncology·Rhys FitzgeraldMatthew Foote
May 10, 2019·Frontiers in Oncology·Srinivasan VijayakumarChunli Claus Yang
Jan 19, 2021·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Friederike WolfValeria Meier
Nov 9, 2020·Clinical Oncology : a Journal of the Royal College of Radiologists·P J LewisA Aggarwal
May 26, 2020·Practical Radiation Oncology·Jean L WrightEric Ford
Feb 9, 2020·Clinical Oncology : a Journal of the Royal College of Radiologists·S MerciecaM van Herk
Mar 21, 2019·Clinical Oncology : a Journal of the Royal College of Radiologists·S RamasamyR J D Prestwich
Nov 9, 2021·Journal of Medical Imaging and Radiation Oncology·Katrina WestVerity Ahern

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