Journal
ZEITSCHRIFT FUR MEDIZINISCHE PHYSIK
Volume 28, Issue 3, Pages 211-223Publisher
ELSEVIER
DOI: 10.1016/j.zemedi.2018.02.002
Keywords
Adaptive radiotherapy; Quality assurance; Image guided radiotherapy
Funding
- AHRQ HHS [R01 HS022888] Funding Source: Medline
- AHRQ [777377, 5R01HS022888-02, 957065, 5R01HS022888-04] Funding Source: Federal RePORTER
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The fast evolution of technology in radiotherapy (RT) enabled the realization of adaptive radiotherapy (ART). However, the new characteristics of ART pose unique challenges for efficiencies and effectiveness of quality assurance (QA) strategies. In this paper, we discuss the necessary QAs for ART and introduce a practical implementation. A previously published work on failure modes and effects analysis (FMEA) of ART is introduced first to explain the risks associated with ART sub-processes. After a brief discussion of QA challenges, we review the existing QA strategies and tools that might be suitable for each ART step. By introducing the MR-guided online ART QA processes developed at our institute, we demonstrate a practical implementation. The limitations and future works to develop more robust and efficient QA strategies are discussed at the end.
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