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UNIVERSITY OF BUCHAREST FACULTY OF PHYSICS Guest 2024-11-23 17:49 |
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Conference: Bucharest University Faculty of Physics 2022 Meeting
Section: Biophysics; Medical Physics
Title: A multi-institutional pilot study using a CIRS SHANE phantome
Authors: Andreea UDREA (1,2), Mihai DUMITRACHE (1), Alina DUMITRACHE (1), Maria VLĂSCEANU (1)
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Affiliation: 1) Emergency Central Military Hospital ”Dr. Carol Davila”, Bucharest, Romania
2) University of Bucharest, Faculty of Physics, Măgurele, Romania
E-mail andreeaaudrea@gmail.com
Keywords: Dosimetry audit, IMRT, VMAT
Abstract: External dosimetry audit is a tool for quality improvement in radiotherapy (RT), being widely recognised to ensure patient dosimetry accuracy and consistency. Large scale audits have provided data which helped to increase the confidence in dose delivey and allowed RT institutions to benchmark themselves against others with similar equipment and thus find out if they have got the best out of a system [1]. In order to review the physics aspects of the overall clinical Intensity Modulated Radiation Therapy (IMRT) performance, a multi-institutional pilot study was carried out in five RT institutions nationwide, with six medical linear accelerators being involved. The International Atomic Energy Agency (IAEA) "end-to-end" audit methodology for on-site verification of IMRT dose delivery, which simulates all the steps of an IMRT treatment, in an ‘end-to-end’ approach (i.e., following the pathway similar to that of the patient, from imaging, through treatment planning to the dose delivery) using an anthropomorphic CIRS Shoulder, Head&Neck End-to-End (SHANE) phantom was followed [2]. Overall, the multi-institutional pilot study results showed that an accurate treatment delivery, within the recommended agreement criteria, is achieved in the centers, thus showing a high quality of IMRT/volumetric modulated arc therapy (VMAT) clinical implementation for Head&Neck treatments.
References:
[1] Clark C. H., Jornet N., Muren L. P., The role of dosimetry audit in achieving high quality radiotherapy, Physics and Imaging in Radiation Oncology, 5(2018) 85–87
[2] Kazantsev P., Lechner W., Gershkevitsh E., Clark C. H., Venencia D., van Dyk J., Wesolowska P., Hernandez V., Jornet N., Tomsej M., Bokulic T., Izewska J., IAEA methodology for on-site end-to-end IMRT/VMAT audits: an international pilot study, Acta Oncologica, 59(2020) 141-148
Acknowledgement: The support and suggestions of Professor Aurel Popescu (University of Bucharest, Faculty of Physics, Romania) are appreciated.
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