National survey on image-guided radiotherapy practice in New Zealand
| Autor: | Jerusha Padayachee, Albert Tiong, Louis Lao, Jasmin Loh |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Image guided radiotherapy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Portal imaging Surveys and Questionnaires Radiation oncology Medicine Kilovoltage Planar Imaging Humans Radiology Nuclear Medicine and imaging Medical physics Practice Patterns Physicians' Head and neck Image-guided radiation therapy Quality of Health Care business.industry Radiotherapy Planning Computer-Assisted Cone-Beam Computed Tomography Tumour site Oncology 030220 oncology & carcinogenesis business Quality assurance New Zealand Radiotherapy Image-Guided |
| Zdroj: | Journal of medical imaging and radiation oncology. 62(2) |
| ISSN: | 1754-9485 |
| Popis: | Introduction This survey aimed to assess the use of image-guided radiotherapy (IGRT) within New Zealand (NZ) and evaluate the quality of IGRT delivery. Method All nine centres in NZ were invited to participate in an online survey in November 2015. Questions were asked on type of IGRT technologies available, IGRT use by tumour site and frequency of imaging. In addition, questions were asked in reference to the American Society for Radiation Oncology (ASTRO) White Paper recommendations on safe practice of IGRT. Results Seven of the nine centres (78%) responded. Kilovoltage cone-beam CT (CBCT), kilovoltage planar imaging and megavoltage electronic portal imaging were the most commonly used IGRT technologies. CBCT was most frequently used in gynaecology (100%), genitourinary (86%) and head and neck (86%) sites. Despite the availability of similar IGRT technologies, there was significant variation in their application between centres. All centres used online IGRT; however, the frequency of imaging varied across the tumour sites and individual centres. Daily online IGRT use ranged from 43% to 86% across the tumour sites. Overall, there was good compliance by the NZ centres to the White Paper recommendations, with at least 71% reached for each element. However, the compliance rates for the individual centres ranged between 50% and 100%. The most commonly identified barrier to IGRT use was lack of guidelines/education (43%). Conclusion Image-guided radiotherapy is widely used in NZ; however, there is a wide variation in its application between centres. Detailed tumour site-specific, imaging modality-specific national guidelines will allow standardization of IGRT practices. |
| Databáze: | OpenAIRE |
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