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Implementation of an image-guided radiation therapy program: Lessons learnt and future challenges |
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| Authors: | LJ Bell L Oliver P Vial TN Eade M Rinks E Hammond GW Morgan M Back KL Wiltshire |
| Affiliation: | 1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales;2. and;3. and Institute of Medical Physics, School of Physics, and;4. and Institute of Medical Physics, School of Physics, and Present address: Phil Vial, Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres, NSW, Australia.;5. and University of Sydney, Sydney, Australia;6. and University of Sydney, Sydney, Australia Present address: Kirsty Wiltshire, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia. |
| Abstract: | The aim of this paper is to detail the experience obtained in implementing an image-guided radiation therapy program at the Northern Sydney Cancer Centre. This required retrofitting a Varian Clinac 21EX with an on-board imager. The commissioning and quality assurance procedures, organisation of a multidisciplinary image guided radiation therapy group, and the development of clinical protocols for orthogonal kV and cone beam computed tomography implementation are described. Reassessment of the image-guided radiation therapy program has continued as new equipment and software versions were made available in the department. |
| Keywords: | clinical implementation cone beam computed tomography image guided radiation therapy kV imaging on-board imaging radiation oncology |