Year: 2020
Type: article
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.
Source: Medical Physics
DOI: 10.1002/mp.14625
Institutions: The University of Sydney, University of Maryland, Baltimore, Brigham and Women's Hospital, Royal North Shore Hospital, Asan Medical Center, University of Ulsan, Memorial Sloan Kettering Cancer Center, University of California San Diego, Lahey Hospital and Medical Center, University of California Davis Medical Center, UC Davis Comprehensive Cancer Center, University Medical Center Utrecht, Calvary Mater Newcastle Hospital, Skåne University Hospital, Henry Ford Health, Washington University in St. Louis, Henry Ford Hospital, Aarhus University Hospital, Sun Nuclear (United States), The University of Texas at San Antonio Health Science Center, Mays Cancer Center at UT Health San Antonio
Language: English
Subfield: Radiation
Field: Physics and Astronomy
Domain: Physical Sciences
Open Access status: bronze
OpenAlex ID: W3108401253