AAPM Task Group 264: The safe clinical implementation of MLC tracking in radiotherapy Guidelines

  


Authors: Keall, P. J.; Sawant, A.; Berbeco, R. I.; Booth, J. T.; Cho, B.; Cerviño, L. I.; Cirino, E.; Dieterich, S.; Fast, M. F.; Greer, P. B.; Munck af Rosenschöld, P.; Parikh, P. J.; Poulsen, P. R.; Santanam, L.; Sherouse, G. W.; Shi, J.; Stathakis, S.
Title: AAPM Task Group 264: The safe clinical implementation of MLC tracking in radiotherapy
Abstract: The era of real-time radiotherapy is upon us. Robotic and gimbaled linac tracking are clinically established technologies with the clinical realization of couch tracking in development. Multileaf collimators (MLCs) are a standard equipment for most cancer radiotherapy systems, and therefore MLC tracking is a potentially widely available technology. MLC tracking has been the subject of theoretical and experimental research for decades and was first implemented for patient treatments in 2013. The AAPM Task Group 264 Safe Clinical Implementation of MLC Tracking in Radiotherapy Report was charged to proactively provide the broader radiation oncology community with (a) clinical implementation guidelines including hardware, software, and clinical indications for use, (b) commissioning and quality assurance recommendations based on early user experience, as well as guidelines on Failure Mode and Effects Analysis, and (c) a discussion of potential future developments. The deliverables from this report include: an explanation of MLC tracking and its historical development; terms and definitions relevant to MLC tracking; the clinical benefit of, clinical experience with and clinical implementation guidelines for MLC tracking; quality assurance guidelines, including example quality assurance worksheets; a clinical decision pathway, future outlook and overall recommendations. © 2020 American Association of Physicists in Medicine
Keywords: radiotherapy dosage; radiotherapy; oncology; radiation effects; radiation oncology; quality assurance; robotics; radiotherapy planning, computer-assisted; magnetic and electromagnetic equipment; particle accelerators; multileaf collimators; clinical experience; humans; human; radiotherapy planning system; clinical implementation; user experience; failure mode and effects analysis; historical development; multileaf collimator tracking; treatment beam adaptation; cancer radiotherapies; experimental research; standard equipments
Journal Title: Medical Physics
Volume: 48
Issue: 5
ISSN: 0094-2405
Publisher: American Association of Physicists in Medicine  
Date Published: 2021-05-01
Start Page: e44
End Page: e64
Language: English
DOI: 10.1002/mp.14625
PUBMED: 33260251
PROVIDER: scopus
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102890491&doi=10.1002%2fmp.14625&partnerID=40&md5=0fd43bb23ff5967e5c23efe2445c6dd5
Notes: Article -- Export Date: 1 July 2021 -- Source: Scopus
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  1. Lakshmi Santanam
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  2. Laura Isabel Cervino Arriba
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