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Surface guided radiation therapy: : An international survey on current clinical practice

Batista, Vania ; Gober, M ; Moura, F ; Webster, A ; Oellers, M ; Ramtohul, M ; Kügele, Malin LU orcid ; Freislederer, P. ; Buschmann, M and Anastasi, G , et al. (2022) In Technical Innovations and Patient Support in Radiation Oncology 22. p.1-8
Abstract
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... (More)
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. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
international surveys, Surface guided radiation therapy, clinical practice, Survey, SGRT, Clinical practices, Surface-guided, Motion management
in
Technical Innovations and Patient Support in Radiation Oncology
volume
22
pages
8 pages
publisher
Elsevier
external identifiers
  • scopus:85127207697
  • pmid:35402740
ISSN
2405-6324
DOI
10.1016/j.tipsro.2022.03.003
language
English
LU publication?
yes
id
44a2a63d-3eb7-4b69-b79a-7a5fef781445
date added to LUP
2022-03-30 11:50:54
date last changed
2022-08-19 19:30:33
@article{44a2a63d-3eb7-4b69-b79a-7a5fef781445,
  abstract     = {{Introduction: Surface Guided Radiation Therapy (SGRT) is being increasingly implemented into clinical practice<br/>across a number of techniques and irradiation-sites. This technology, which is provided by different vendors, can<br/>be used with most simulation- and delivery-systems. However, limited guidelines and the complexity of clinical<br/>settings have led to diverse patterns of operation. With the aim to understand current clinical practice a survey<br/>was designed focusing on specifics of the clinical implementation and usage.<br/>Materials and methods: A 32-question survey covered: type and number of systems, quality assurance (QA),<br/>clinical workflows, and identification of strengths/limitations. Respondents from different professional groups<br/>and countries were invited to participate. The survey was distributed internationally via ESTRO-membership,<br/>social media and vendors.<br/>Results: Of the 278 institutions responding, 172 had at least one SGRT-system and 136 use SGRT clinically.<br/>Implementation and QA were primarily based on the vendors’ recommendations and phantoms. SGRT was<br/>mainly implemented in breast RT (116/136), with strong but diverse representation of other sites. Many (58/<br/>135) reported at least partial elimination of skin-marks and a third (43/126) used open-masks. The most common<br/>imaging protocol reported included the combination of radiographic imaging with SGRT. Patient positioning<br/>(115/136), motion management (104/136) and DIBH (99/136) were the main applications.<br/>Main barriers to broader application were cost, system integration issues and lack of demonstrated clinical value.<br/>A lack of guidelines in terms of QA of the system was highlighted.<br/>Conclusions: This overview of the SGRT status has the potential to support users, vendors and organisations in the<br/>development of practices, products and guidelines.}},
  author       = {{Batista, Vania and Gober, M and Moura, F and Webster, A and Oellers, M and Ramtohul, M and Kügele, Malin and Freislederer, P. and Buschmann, M and Anastasi, G and Steiner, E and Al-Hallaq, Hania and Lehmann, Joerg}},
  issn         = {{2405-6324}},
  keywords     = {{international surveys; Surface guided radiation therapy; clinical practice; Survey; SGRT; Clinical practices; Surface-guided; Motion management}},
  language     = {{eng}},
  month        = {{03}},
  pages        = {{1--8}},
  publisher    = {{Elsevier}},
  series       = {{Technical Innovations and Patient Support in Radiation Oncology}},
  title        = {{Surface guided radiation therapy: : An international survey on current clinical practice}},
  url          = {{http://dx.doi.org/10.1016/j.tipsro.2022.03.003}},
  doi          = {{10.1016/j.tipsro.2022.03.003}},
  volume       = {{22}},
  year         = {{2022}},
}