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Radiation therapists’ compliance to a palliative imaging protocol: a case report

Published online by Cambridge University Press:  08 January 2018

J. Cvetkova
Affiliation:
Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland
T. O’Donovan
Affiliation:
Radiation Oncology Department, Cork University Hospital, Cork, Ireland
A. Craig
Affiliation:
Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland
L. Mullaney*
Affiliation:
Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland
*
Correspondence to: Laura Mullaney, Discipline of Radiation Therapy, Trinity College Dublin, Trinity Building for Health Sciences, St James’s Hospital Campus, Dublin 8, Ireland. Tel: +353 1 896 3254. E-mail: laura.mullaney@tcd.ie

Abstract

Background

Imaging protocols are implemented to identify and minimise set-up errors. A crucial component to the success of these protocols is staff compliance.

Materials and methods

This is case report describing a retrospective review of radiation therapists’ compliance to a palliative imaging protocol in a single large institution in one calendar year.

Results

The review showed a non-compliance to protocol for 8% of treatments. The most frequent protocol deviation was a failure to calculate the mean set-up displacement after 2/3 days of consecutive imaging.

Conclusion

Despite the presence of institutional evidence-based palliative imaging protocol unwanted deviations in practice can occur.

Type
Case Study
Copyright
© Cambridge University Press 2018 

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References

1. Stratford, J, Ball, K, Henry, A M et al. Radiotherapy treatment verification in the UK: an audit of practice in 2004. Clin Oncol 2006; 18 (1): 1522.Google Scholar
2. The Royal College of Radiologists SaCoR, Institute of Physics and Engineering in Medicine. On Target: Ensuring Geometric Accuracy in Radiotherapy. London: The Royal College of Radiologists, 2008.Google Scholar
3. The Royal College of Radiologists SaCoR, Institute of Physics and Engineering in Medicine. Towards Safer Radiotherapy. London: The Royal College of Radiologists, 2008.Google Scholar
4. Peters, L J, O’Sullivan, B, Giralt, J et al. Critical impact of radiotherapy protocol compliance and quality in the treatment of advanced head and neck cancer: results from TROG 02.02. J Clin Oncol 2010; 28 (18): 29963001.Google Scholar
5. Hurkmans, C W, Remeijer, P, Lebesque, J V, Mijnheer, B J. Set-up verification using portal imaging; review of current clinical practice. Radiother Oncol 2001; 58 (2): 105120.Google Scholar
6. Giraud, P, De Rycke, Y, Rosenwald, J-C, Cosset, J-M. Conformal radiotherapy planning for lung cancer: analysis of set-up uncertainties. Cancer Invest 2007; 25 (1): 3846.Google Scholar
7. Kataria, T, Abhishek, A, Chadha, P, Nandigam, J. Set-up uncertainties: online correction with X-ray volume imaging. J Cancer Res Ther 2011; 7 (1): 40.Google Scholar