Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials

The British Journal of Radiology
Catharine H ClarkDavid I Thwaites

Abstract

Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniqu...Continue Reading

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Citations

Apr 30, 2017·The British Journal of Radiology·Alexis DimitriadisCatharine H Clark
Jan 1, 2019·Journal of Applied Clinical Medical Physics·Narges MiriPeter B Greer
Feb 8, 2019·Physics in Medicine and Biology·Ilias BillasSimon Duane
Mar 2, 2017·Physics in Medicine and Biology·Narges MiriPeter B Greer
Aug 27, 2019·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·Tania SantosJoanna Izewska
Jul 27, 2021·Physics and Imaging in Radiation Oncology·Matthew BoltTao Chen

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