放射治疗师（RTT）对发展图像引导放射治疗（IGRT）再照射方案的看法

IF 2.8 Q1 Nursing

Technical Innovations and Patient Support in Radiation Oncology Pub Date : 2025-08-14 DOI:10.1016/j.tipsro.2025.100335

Aileen Duffton , Lynsey Devlin , Aoife Williamson , Derek Grose , Eilidh Tolmie , Linda MacLaren , Sharon McFadden , Rebecca Muirhead

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引用次数: 0

摘要

关于再照射的前瞻性研究是有限的，大多数可用的数据是回顾性的，这导致了标准化方案、解释结果和促进知情患者决策的挑战。先进的放疗计划和交付增加了复杂病例的治疗可能性，包括再照射。然而，在再照射图像引导放疗（IGRT）和治疗递送方面存在相当大的差距和可变性。这项工作的目的是确定基于RTT反馈优化再照射IGRT方案的方法。方法采用计划、执行、检查的方法，采用定量和定性相结合的服务改进方法。在单一康复中心工作的康复治疗参与者参加了焦点小组/名义小组技术会议。会议被用来产生主题、挑战和解决方案，然后由所有参与者使用李克特量表评分标准进行评分。结果参加会议的IGRT团队成员均为6年以上，其中资深专家临床RTT 4人，组长专家RTT 2人，IGRT专家RTT 2人，顾问RTT 1人，研究RTT 2人。确定了8个主题、19个挑战和35个解决办法。这些挑战包括沟通挑战和多专业团队（MPT）参与、RTT的角色和发展、临床信息和治疗意图、标准和指南、个性化方法、技术规划考虑、成像和验证技术以及解剖部位特定考虑。确定的主题提供了有价值的见解，将为未来的IGRT过程提供信息，并为未来国际层面的研究合作提供信息，致力于改善患者的再照射治疗，使其受益。在MPT中，RTT有很多机会，而高级实践（AP）可以提供为患者利益开发RTT所需的框架。

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Radiation therapist (RTT) perspectives on developing image-guided radiotherapy (IGRT) protocols for reirradiation

Introduction

Prospective studies on reirradiation are limited, with most available data being retrospective, resulting in challenges in standardising protocols, interpreting outcomes, and facilitating informed patient decisions. Advanced radiotherapy planning and delivery have increased treatment possibilities for complex cases, including reirradiation. However, considerable gaps and variability in reirradiation image-guided radiotherapy (IGRT) and treatment delivery exist. The aim of this work was to identify ways to optimise reirradiation IGRT protocols based on RTT feedback.

Methods

A quantitative and qualitative service improvement approach was selected, using a plan, do, check approach. RTT participants working in a single RT centre participated in focus group/nominal group technique sessions. Sessions were used to generate themes, challenges and solutions, which were then scored using Likert scale scoring criteria by all participants.

Results

Eleven IGRT team members each with > 6 years experience participated in the sessions, (4 senior specialist clinical RTT, 2 team leader specialist RTT, 2 IGRT specialist RTT, 1 consultant RTT and 2 research RTT). Eight themes, 19 challenges and 35 solutions were identified. These included communication challenges and multi-professional team (MPT) involvement, RTT role and development, clinical information and treatment intent, standards and guidelines, individualised approach, technical planning considerations, imaging and verification techniques, and anatomical site-specific considerations.

Conclusion

The themes identified provide valuable insights that will inform future IGRT processes and inform future research collaborations on an international level, working towards improving reirradiation treatment for patients who would benefit. There are many opportunities for the RTT within the MPT, and advanced practice (AP) can provide the framework required to develop this for the benefit of patients.

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来源期刊

Technical Innovations and Patient Support in Radiation Oncology Nursing-Oncology (nursing)

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

67 days