AAPM Task Group 264: The safe clinical implementation of MLC tracking in radiotherapy
AAPM Task Group 264: The safe clinical implementation of MLC tracking in radiotherapy
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DOI：
10.1002/mp.14625
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发表时间：
2021-03-23
期刊：
影响因子：
3.8
通讯作者：
Stathakis, Sotirios
中科院分区：
文献类型：
--
作者：
Keall, Paul J.;Sawant, Amit;Stathakis, Sotirios
实时放射治疗的时代已经来临。机器人和万向直线加速器跟踪是临床成熟的技术，沙发跟踪的临床实现正在开发中。多叶准直器 (MLC) 是大多数癌症放射治疗系统的标准设备，因此 MLC 跟踪是一项潜在广泛应用的技术。几十年来，MLC 跟踪一直是理论和实验研究的主题，并于 2013 年首次应用于患者治疗。AAPM 任务组 264 放射治疗中 MLC 跟踪的安全临床实施报告负责主动向更广泛的放射肿瘤学界提供 (a) 临床实施指南，包括硬件、软件和临床使用指征，(b) 基于早期用户体验的调试和质量保证建议，以及故障模式和影响分析指南，以及 (c) 对潜在未来的讨论事态发展。本报告的交付成果包括： 对 MLC 跟踪及其历史发展的解释；与 MLC 跟踪相关的术语和定义； MLC 追踪的临床效益、临床经验和临床实施指南；质量保证指南，包括质量保证工作表示例；临床决策路径、未来展望和总体建议。
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.