Interventional Radiation Oncology (IRO): Transition of a magnetic resonance simulator to a brachytherapy suite

Autor: Marc Morcos, A.N. Souranis, Junghoon Lee, Courtney Beeckler, Dave P. Miller, Amanda N. Fader, Sook Kien Ng, Roberta Anderson, Rashmi Prasad, Marie N. Hannah, Akila N. Viswanathan, Elwood P. Armour, Robert F. Hobbs, Andrea L. Cox, Valerie Briner, Theodore L. DeWeese, Paige E. McMillan, Marilyn Kiely, Ellen Huang, A. Choflet, Robert W. Thomsen
Rok vydání: 2018
Předmět:
Zdroj: Brachytherapy. 17:587-596
ISSN: 1538-4721
Popis: Purpose As a core component of a new gynecologic cancer radiation program, we envisioned, structured, and implemented a novel Interventional Radiation Oncology (IRO) unit and magnetic resonance (MR)–brachytherapy environment in an existing MR simulator. Methods and Materials We describe the external and internal processes required over a 6-8 month time frame to develop a clinical and research program for gynecologic brachytherapy and to successfully convert an MR simulator into an IRO unit. Results Support of the institution and department resulted in conversion of an MR simulator to a procedural suite. Development of the MR gynecologic brachytherapy program required novel equipment, staffing, infrastructural development, and cooperative team development with anesthetists, nurses, therapists, physicists, and physicians to ensure a safe and functional environment. Creation of a separate IRO unit permitted a novel billing structure. Conclusions The creation of an MR-brachytherapy environment in an MR simulator is feasible. Developing infrastructure includes several collaborative elements. Unique to the field of radiation oncology, formalizing the space as an Interventional Radiation Oncology unit permits a sustainable financial structure.
Databáze: OpenAIRE