Technological quality requirements for stereotactic radiotherapy : Expert review group consensus from the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy.

This review details and discusses the technological quality requirements to ensure the desired quality for stereotactic radiotherapy using photon external beam radiotherapy as defined by the DEGRO Working Group Radiosurgery and Stereotactic Radiotherapy and the DGMP Working Group for Physics and Tec...

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Publicado en:Strahlentherapie und Onkologie Vol. 196; no. 5; pp. 421 - 444
Autores principales: Schmitt, Daniela, Blanck, Oliver, Gauer, Tobias, Fix, Michael K., Brunner, Thomas B., Fleckenstein, Jens, Loutfi-Krauss, Britta, Manser, Peter, Werner, Rene, Wilhelm, Maria-Lisa, Baus, Wolfgang W., Moustakis, Christos
Formato: review Journal Article
Publicado: Springer Nature May2020
Acceso en línea:Ver este registro en EBSCOhost
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        au:
          Schmitt, Daniela
          Blanck, Oliver
          Gauer, Tobias
          Fix, Michael K.
          Brunner, Thomas B.
          Fleckenstein, Jens
          Loutfi-Krauss, Britta
          Manser, Peter
          Werner, Rene
          Wilhelm, Maria-Lisa
          Baus, Wolfgang W.
          Moustakis, Christos
        affil: Klinik für Radioonkologie und Strahlentherapie, National Center for Radiation Research in Oncology (NCRO), Heidelberger Institut für Radioonkologie (HIRO), Universitätsklinikum Heidelberg, Heidelberg, Germany
      sug:
        subj:
          Consensus
          Radiosurgery Standards
          Quality Assurance Standards
          Radiation Dosage
          Germany
          Medical Organizations
          Ferrans and Powers Quality of Life Index
          Scales
      ab: This review details and discusses the technological quality requirements to ensure the desired quality for stereotactic radiotherapy using photon external beam radiotherapy as defined by the DEGRO Working Group Radiosurgery and Stereotactic Radiotherapy and the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The covered aspects of this review are 1) imaging for target volume definition, 2) patient positioning and target volume localization, 3) motion management, 4) collimation of the irradiation and beam directions, 5) dose calculation, 6) treatment unit accuracy, and 7) dedicated quality assurance measures. For each part, an expert review for current state-of-the-art techniques and their particular technological quality requirement to reach the necessary accuracy for stereotactic radiotherapy divided into intracranial stereotactic radiosurgery in one single fraction (SRS), intracranial fractionated stereotactic radiotherapy (FSRT), and extracranial stereotactic body radiotherapy (SBRT) is presented. All recommendations and suggestions for all mentioned aspects of stereotactic radiotherapy are formulated and related uncertainties and potential sources of error discussed. Additionally, further research and development needs in terms of insufficient data and unsolved problems for stereotactic radiotherapy are identified, which will serve as a basis for the future assignments of the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The review was group peer-reviewed, and consensus was obtained through multiple working group meetings.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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