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Quality assurance of 3D-CRT: indications and difficulties in their applications
Authors:Begnozzi Luisa  Benassi Marcello  Bertanelli Mario  Bonini Antonio  Cionini Luca  Conte Leopoldo  Fiorino Claudio  Gabriele Pietro  Gardani Gianstefano  Giani Alessandra  Magri Secondo  Morelli Maria  Morrica Brunello  Olmi Patrizia  Orecchia Roberto  Penduzzu Giovanni  Raffaele Luigi  Rosi Antonella  Tabocchini M Antonella  Valdagni Riccardo  Viti Vincenza
Affiliation:Servizio di Fisica Sanitaria Ospedale S. Giovanni Calibita, Fatebenefratelli, Roma, Italy.
Abstract:Although more advanced techniques such as intensity-modulated radiotherapy are rapidly spreading, 3D conformal radiotherapy (3D-CRT) remains the standard of treatment for many diseases. The authors outline essential indications to guarantee the quality of 3D-CRT treatments. Criteria for clinical indications and potential clinical advantages and disadvantages of 3D-CRT technology are presented. After briefly listing human and technological resources requirements, procedures for 3D-CRT and physical aspects peculiar to 3D-CRT are described. Medical physics support activities are also considered, including suggestions concerning quality control protocols. Difficulties in the application of correct quality procedures, particularly related to human and technological resources, procedures for patient positioning, imaging, contouring, treatment planning, in vivo dosimetry, set-up verification, follow-up, dose delivery are then discussed.
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