Quality indicators in the intensity modulated/image-guided radiotherapy era

被引:11
作者
Gabriele, P. [1 ]
Maggio, A. [2 ]
Garibaldi, E. [1 ]
Bracco, C. [2 ]
Delmastro, E. [1 ]
Gabriele, D. [3 ]
Rosi, A. [4 ]
Munoz, F. [5 ]
Di Muzio, N. [6 ]
Corvo, R. [7 ,8 ]
Stasi, M. [2 ]
机构
[1] IRCCS, Candiolo Canc Ctr FPO, Dept Radiotherapy, Turin, Italy
[2] IRCCS, Candiolo Canc Ctr FPO, Dept Med Phys, Turin, Italy
[3] Univ Sassari, Radiotherapy Unit, Sassari, Italy
[4] Natl Inst Hlth, Phys Technol Biomed Unit, Rome, Italy
[5] Hosp Aosta, TomoTherapy Unit, Radiat Oncol, Aosta, Italy
[6] Ist Sci San Raffaele, Dept Radiat Oncol, Milan, Italy
[7] IRCCS San Martino IST, Genoa, Italy
[8] Univ Genoa, Genoa, Italy
关键词
Quality assurance; Quality indicators; IMRT/IGRT; MULTIDISCIPLINARY CARE; ADAPTIVE RADIOTHERAPY; CLINICAL-OUTCOMES; PROSTATE-CANCER; LUNG-CANCER; SAFETY; MRI; EQUIPMENT; ASSURANCE; DIAGNOSIS;
D O I
10.1016/j.critrevonc.2016.10.013
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To propose new Quality Indicators (QIs) for the Intensity Modulated(IMRT)/Image-Guided(IGRT) Radiotherapy techniques. Materials and methods: Two structure, 10 process and 2 outcome QIs were elaborated. A working group including Radiation Oncologist, Medical Physicist and Radiation Technologists was made up. A preliminary set of indicators was selected on the basis of evidenced critical issues; the criteria to identify more relevant and specific QIs for IMRT/IGRT were defined; structure, process and outcome QIs were defined. The elaborated indicators were tested in four Italian Radiotherapy Centers. Results: Fourteen indicators were proposed. Seven indicators were completely new while a new standard is proposed for four indicators based on Validation Centers (VC) data. No change was reported for 3 indicators. The indicators were applied in the four VC. The VC considered were able to respect all indicators except indicator 2 for one Center. Discussion and conclusion: QIs may provide useful measures of workload and service performances. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:52 / 61
页数:10
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