立体定向放射治疗的ACR-ARS实践参数。

IF 1.6 4区 医学 Q4 ONCOLOGY
Samuel T Chao, Aviva Berkowitz, Eleanor E R Harris, Mark A Henderson, Simon S Lo, Matthew Pacella, Joshua Palmer, Hina Saeed, Charles B Simone, Benjamin P Ziemer, William Small, Naomi R Schechter
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引用次数: 0

摘要

目的:该实践参数由美国放射学会(ACR)和美国镭学会(ARS)共同修订。与传统放射相比,立体定向全身放射治疗(SBRT)以更少的5分之一精确地提供更高剂量的放射。鉴于这种治疗技术的复杂性和技术性,需要实践参数来为医生和物理学家提供指导。方法:该实践参数是由ACR放射肿瘤学委员会的实践参数-放射肿瘤学委员会与ARS合作,根据ACR网站(https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards)上“制定ACR实践参数和技术标准的过程”标题下描述的过程制定的。结果:回顾了工作流程、人员资格/职责、质量控制和治疗交付/验证。SBRT的重要元素包括图像引导、固定和运动管理,治疗计划的目标是使暴露在中、高剂量水平下的正常组织体积最小化,并使安全剂量最大化。由于一些技术不用于标准治疗,因此鼓励进行专门培训。结论:该实践参数为SBRT推荐的关键成分提供了指导,并可作为医生和物理学家希望为患者提供这种治疗的指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ACR-ARS Practice Parameter for the Performance of Stereotactic Body Radiation Therapy.

Objectives: This practice parameter was revised collaboratively by the American College of Radiology (ACR) and American Radium Society (ARS). Stereotactic body radiation therapy (SBRT) precisely delivers higher dose(s) of radiation in 5 of fewer fractions, compared with conventional radiation. Given the complexity and technical nature of this treatment technique, practice parameters are needed to provide guidance to physicians and physicists.

Methods: This practice parameter was developed according to the process described under the heading The Process for Developing ACR Practice Parameters and Technical Standards on the ACR website (https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards) by the Committee on Practice Parameters-Radiation Oncology of the ACR Commission on Radiation Oncology in collaboration with the ARS.

Results: Workflow, qualifications/responsibilities of personnel, quality control, and treatment delivery/verification are reviewed. Notable elements of SBRT include image guidance, immobilization, and motion management, with the treatment planning goal of minimizing the volume of normal tissue exposed to medium and high dose levels and maximizing dose safely to the target. Specialized training is encouraged, as some technologies are not used in standard treatments.

Conclusions: This practice parameter provides direction on key components recommended for SBRT and may be used as a guide to physicians and physicists wanting to provide this treatment to their patients.

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来源期刊
CiteScore
4.90
自引率
0.00%
发文量
130
审稿时长
4-8 weeks
期刊介绍: ​​​​​​​American Journal of Clinical Oncology is a multidisciplinary journal for cancer surgeons, radiation oncologists, medical oncologists, GYN oncologists, and pediatric oncologists. The emphasis of AJCO is on combined modality multidisciplinary loco-regional management of cancer. The journal also gives emphasis to translational research, outcome studies, and cost utility analyses, and includes opinion pieces and review articles. The editorial board includes a large number of distinguished surgeons, radiation oncologists, medical oncologists, GYN oncologists, pediatric oncologists, and others who are internationally recognized for expertise in their fields.
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