Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials
Identifieur interne : 000403 ( Ncbi/Merge ); précédent : 000402; suivant : 000404Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials
Auteurs : Catharine H. Clark ; Edwin Ga Aird ; Steve Bolton ; Elizabeth A. Miles ; Andrew Nisbet ; Julia Ad Snaith ; Russell As Thomas ; Karen Venables ; David I. ThwaitesSource :
- The British Journal of Radiology [ 0007-1285 ] ; 2015.
Abstract
Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniques and provides assurance, not only that radiotherapy is planned and delivered accurately but also that the patient dose delivered is as prescribed.
Url:
DOI: 10.1259/bjr.20150251
PubMed: 26329469
PubMed Central: 4743452
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<front><div type="abstract" xml:lang="en"><p>Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniques and provides assurance, not only that radiotherapy is planned and delivered accurately but also that the patient dose delivered is as prescribed.</p>
</div>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Br J Radiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Br J Radiol</journal-id>
<journal-id journal-id-type="publisher-id">bjr</journal-id>
<journal-title-group><journal-title>The British Journal of Radiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0007-1285</issn>
<issn pub-type="epub">1748-880X</issn>
<publisher><publisher-name>The British Institute of Radiology.</publisher-name>
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<article-id pub-id-type="doi">10.1259/bjr.20150251</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject>
</subj-group>
<subj-group subj-group-type="collection"><subject>Physics and Technology</subject>
</subj-group>
</article-categories>
<title-group><article-title>Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials</article-title>
<alt-title alt-title-type="left-running-head">Clark <italic>et al</italic>
</alt-title>
<alt-title alt-title-type="right-running-head">Radiotherapy dosimetry audit</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Clark</surname>
<given-names>Catharine H</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<email xlink:href="catharine.clark@nhs.net">catharine.clark@nhs.net</email>
</contrib>
<contrib contrib-type="author"><name><surname>Aird</surname>
<given-names>Edwin GA</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<email xlink:href="edwin.aird@nhs.net">edwin.aird@nhs.net</email>
</contrib>
<contrib contrib-type="author"><name><surname>Bolton</surname>
<given-names>Steve</given-names>
</name>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
<email xlink:href="Steve.Bolton@christie.nhs.uk">Steve.Bolton@christie.nhs.uk</email>
</contrib>
<contrib contrib-type="author"><name><surname>Miles</surname>
<given-names>Elizabeth A</given-names>
</name>
<degrees>MPhil</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<email xlink:href="elizabeth.miles@nhs.net">elizabeth.miles@nhs.net</email>
</contrib>
<contrib contrib-type="author"><name><surname>Nisbet</surname>
<given-names>Andrew</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6"><sup>6</sup>
</xref>
<email xlink:href="andrew.nisbet@nhs.net">andrew.nisbet@nhs.net</email>
</contrib>
<contrib contrib-type="author"><name><surname>Snaith</surname>
<given-names>Julia AD</given-names>
</name>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<email xlink:href="julia.snaith@npl.co.uk">julia.snaith@npl.co.uk</email>
</contrib>
<contrib contrib-type="author"><name><surname>Thomas</surname>
<given-names>Russell AS</given-names>
</name>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<email xlink:href="russell.thomas@npl.co.uk">russell.thomas@npl.co.uk</email>
</contrib>
<contrib contrib-type="author"><name><surname>Venables</surname>
<given-names>Karen</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<email xlink:href="karen.venables@nhs.net">karen.venables@nhs.net</email>
</contrib>
<contrib contrib-type="author"><name><surname>Thwaites</surname>
<given-names>David I</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff7"><sup>7</sup>
</xref>
<email xlink:href="thwaites@physics.usyd.edu.au">thwaites@physics.usyd.edu.au</email>
</contrib>
<aff id="aff1"><label><sup>1</sup>
</label>
<addr-line>Department of Medical Physics, Royal Surrey County Hospital, Guildford, Surrey, UK</addr-line>
</aff>
<aff id="aff2"><label><sup>2</sup>
</label>
<addr-line>Radiation Dosimetry Group, National Physical Laboratory, Teddington, Middlesex, UK</addr-line>
</aff>
<aff id="aff3"><label><sup>3</sup>
</label>
<addr-line>RTTQA Group, Mount Vernon Hospital, Northwood, Middlesex, UK</addr-line>
</aff>
<aff id="aff4"><label><sup>4</sup>
</label>
<addr-line>Medical Physics and Engineering Department, Christie Hospital NHS Foundation Trust, Manchester, UK</addr-line>
</aff>
<aff id="aff5"><label><sup>5</sup>
</label>
<addr-line>Institute of Physics and Engineering in Medicine, York, UK</addr-line>
</aff>
<aff id="aff6"><label><sup>6</sup>
</label>
<addr-line>Department of Physics, University of Surrey, Guildford, UK</addr-line>
</aff>
<aff id="aff7"><label><sup>7</sup>
</label>
<addr-line>Institute of Medical Physics, School of Physics, University of Sydney, Sydney, NSW, Australia</addr-line>
</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Dr Catharine H Clark. E-mail: <email xlink:href="catharine.clark@nhs.net">catharine.clark@nhs.net</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2015</year>
<string-date>November 2015</string-date>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>9</month>
<year>2015</year>
</pub-date>
<volume>88</volume>
<issue>1055</issue>
<elocation-id>20150251</elocation-id>
<history><date date-type="received"><day>24</day>
<month>3</month>
<year>2015</year>
<string-date>Received on March 24, 2015</string-date>
</date>
<date date-type="rev-recd"><day>22</day>
<month>6</month>
<year>2015</year>
<string-date>Revised on June 22, 2015</string-date>
</date>
<date date-type="accepted"><day>1</day>
<month>9</month>
<year>2015</year>
<string-date>Accepted on September 1, 2015</string-date>
</date>
</history>
<permissions><copyright-statement>© 2015 The Authors. Published by the British Institute of Radiology</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>The Authors</copyright-holder>
</permissions>
<self-uri content-type="pdf" xlink:href="bjr.20150251.pdf"></self-uri>
<abstract><p>Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniques and provides assurance, not only that radiotherapy is planned and delivered accurately but also that the patient dose delivered is as prescribed.</p>
</abstract>
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<name sortKey="Bolton, Steve" sort="Bolton, Steve" uniqKey="Bolton S" first="Steve" last="Bolton">Steve Bolton</name>
<name sortKey="Clark, Catharine H" sort="Clark, Catharine H" uniqKey="Clark C" first="Catharine H" last="Clark">Catharine H. Clark</name>
<name sortKey="Miles, Elizabeth A" sort="Miles, Elizabeth A" uniqKey="Miles E" first="Elizabeth A" last="Miles">Elizabeth A. Miles</name>
<name sortKey="Nisbet, Andrew" sort="Nisbet, Andrew" uniqKey="Nisbet A" first="Andrew" last="Nisbet">Andrew Nisbet</name>
<name sortKey="Snaith, Julia Ad" sort="Snaith, Julia Ad" uniqKey="Snaith J" first="Julia Ad" last="Snaith">Julia Ad Snaith</name>
<name sortKey="Thomas, Russell As" sort="Thomas, Russell As" uniqKey="Thomas R" first="Russell As" last="Thomas">Russell As Thomas</name>
<name sortKey="Thwaites, David I" sort="Thwaites, David I" uniqKey="Thwaites D" first="David I" last="Thwaites">David I. Thwaites</name>
<name sortKey="Venables, Karen" sort="Venables, Karen" uniqKey="Venables K" first="Karen" last="Venables">Karen Venables</name>
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