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AAPM Task Group 264 : The safe clinical implementation of MLC tracking in radiotherapy

Keall, Paul J. ; Sawant, Amit ; Berbeco, Ross I. ; Booth, Jeremy T. ; Cho, Byungchul ; Cerviño, Laura I. ; Cirino, Eileen ; Dieterich, Sonja ; Fast, Martin F. and Greer, Peter B. , et al. (2021) In Medical Physics 48(5).
Abstract

The era of real-time radiotherapy is upon us. Robotic and gimbaled linac tracking are clinically established technologies with the clinical realization of couch tracking in development. Multileaf collimators (MLCs) are a standard equipment for most cancer radiotherapy systems, and therefore MLC tracking is a potentially widely available technology. MLC tracking has been the subject of theoretical and experimental research for decades and was first implemented for patient treatments in 2013. The AAPM Task Group 264 Safe Clinical Implementation of MLC Tracking in Radiotherapy Report was charged to proactively provide the broader radiation oncology community with (a) clinical implementation guidelines including hardware, software, and... (More)

The era of real-time radiotherapy is upon us. Robotic and gimbaled linac tracking are clinically established technologies with the clinical realization of couch tracking in development. Multileaf collimators (MLCs) are a standard equipment for most cancer radiotherapy systems, and therefore MLC tracking is a potentially widely available technology. MLC tracking has been the subject of theoretical and experimental research for decades and was first implemented for patient treatments in 2013. The AAPM Task Group 264 Safe Clinical Implementation of MLC Tracking in Radiotherapy Report was charged to proactively provide the broader radiation oncology community with (a) clinical implementation guidelines including hardware, software, and clinical indications for use, (b) commissioning and quality assurance recommendations based on early user experience, as well as guidelines on Failure Mode and Effects Analysis, and (c) a discussion of potential future developments. The deliverables from this report include: an explanation of MLC tracking and its historical development; terms and definitions relevant to MLC tracking; the clinical benefit of, clinical experience with and clinical implementation guidelines for MLC tracking; quality assurance guidelines, including example quality assurance worksheets; a clinical decision pathway, future outlook and overall recommendations.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Clinical implementation, Multileaf collimator tracking, Treatment beam adaptation
in
Medical Physics
volume
48
issue
5
publisher
American Association of Physicists in Medicine
external identifiers
  • pmid:33260251
  • scopus:85102890491
ISSN
0094-2405
DOI
10.1002/mp.14625
language
English
LU publication?
no
id
087b49db-9739-42c7-8c90-8f2906737593
date added to LUP
2021-04-06 13:09:01
date last changed
2024-06-15 09:15:40
@article{087b49db-9739-42c7-8c90-8f2906737593,
  abstract     = {{<p>The era of real-time radiotherapy is upon us. Robotic and gimbaled linac tracking are clinically established technologies with the clinical realization of couch tracking in development. Multileaf collimators (MLCs) are a standard equipment for most cancer radiotherapy systems, and therefore MLC tracking is a potentially widely available technology. MLC tracking has been the subject of theoretical and experimental research for decades and was first implemented for patient treatments in 2013. The AAPM Task Group 264 Safe Clinical Implementation of MLC Tracking in Radiotherapy Report was charged to proactively provide the broader radiation oncology community with (a) clinical implementation guidelines including hardware, software, and clinical indications for use, (b) commissioning and quality assurance recommendations based on early user experience, as well as guidelines on Failure Mode and Effects Analysis, and (c) a discussion of potential future developments. The deliverables from this report include: an explanation of MLC tracking and its historical development; terms and definitions relevant to MLC tracking; the clinical benefit of, clinical experience with and clinical implementation guidelines for MLC tracking; quality assurance guidelines, including example quality assurance worksheets; a clinical decision pathway, future outlook and overall recommendations.</p>}},
  author       = {{Keall, Paul J. and Sawant, Amit and Berbeco, Ross I. and Booth, Jeremy T. and Cho, Byungchul and Cerviño, Laura I. and Cirino, Eileen and Dieterich, Sonja and Fast, Martin F. and Greer, Peter B. and Munck af Rosenschöld, Per and Parikh, Parag J. and Poulsen, Per Rugaard and Santanam, Lakshmi and Sherouse, George W. and Shi, Jie and Stathakis, Sotirios}},
  issn         = {{0094-2405}},
  keywords     = {{Clinical implementation; Multileaf collimator tracking; Treatment beam adaptation}},
  language     = {{eng}},
  number       = {{5}},
  publisher    = {{American Association of Physicists in Medicine}},
  series       = {{Medical Physics}},
  title        = {{AAPM Task Group 264 : The safe clinical implementation of MLC tracking in radiotherapy}},
  url          = {{http://dx.doi.org/10.1002/mp.14625}},
  doi          = {{10.1002/mp.14625}},
  volume       = {{48}},
  year         = {{2021}},
}