| Literature DB >> 29550014 |
Bin Cai1, Olga L Green1, Rojano Kashani2, Vivian L Rodriguez1, Sasa Mutic1, Deshan Yang3.
Abstract
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.Keywords: Adaptive radiotherapy; Image guided radiotherapy; Quality assurance
Mesh:
Year: 2018 PMID: 29550014 DOI: 10.1016/j.zemedi.2018.02.002
Source DB: PubMed Journal: Z Med Phys ISSN: 0939-3889 Impact factor: 4.820