Technological quality requirements for stereotactic radiotherapy : Expert review group consensus from the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy.

DOI
Publisher DOI
PubMed ID
32211939
Abstract
This review details and discusses the technological quality requirements to ensure the desired quality for stereotactic radiotherapy using photon external beam radiotherapy as defined by the DEGRO Working Group Radiosurgery and Stereotactic Radiotherapy and the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The covered aspects of this review are 1) imaging for target volume definition, 2) patient positioning and target volume localization, 3) motion management, 4) collimation of the irradiation and beam directions, 5) dose calculation, 6) treatment unit accuracy, and 7) dedicated quality assurance measures. For each part, an expert review for current state-of-the-art techniques and their particular technological quality requirement to reach the necessary accuracy for stereotactic radiotherapy divided into intracranial stereotactic radiosurgery in one single fraction (SRS), intracranial fractionated stereotactic radiotherapy (FSRT), and extracranial stereotactic body radiotherapy (SBRT) is presented. All recommendations and suggestions for all mentioned aspects of stereotactic radiotherapy are formulated and related uncertainties and potential sources of error discussed. Additionally, further research and development needs in terms of insufficient data and unsolved problems for stereotactic radiotherapy are identified, which will serve as a basis for the future assignments of the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The review was group peer-reviewed, and consensus was obtained through multiple working group meetings.
Date Issued
2020-05
Publication Type
Article
Subjects
FSRT Radiosurgery Recommendations SBRT SRS Technique
Language(s)
en
Author(s)
Schmitt, Daniela
Blanck, Oliver
Gauer, Tobias
Brunner, Thomas B
Fleckenstein, Jens
Loutfi-Krauss, Britta
Werner, Rene
Wilhelm, Maria-Lisa
Baus, Wolfgang W
Moustakis, Christos
Additional Credits
Journal
Strahlentherapie und Onkologie
Publisher
Springer
ISSN
1439-099X
Access(Rights)
open.access
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