Surface guided radiation therapy: : An international survey on current clinical practice
(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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https://lup.lub.lu.se/record/44a2a63d-3eb7-4b69-b79a-7a5fef781445
- author
- organization
- publishing date
- 2022-03-30
- 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}}, }