Definition and quality requirements for stereotactic radiotherapy: consensus statement from the DEGRO/DGMP Working Group Stereotactic Radiotherapy and Radiosurgery

Gückenberger, Matthias; Baus, Wolfgang; Blanck, Oliver; Combs, Stephanie E.; Debus, Jürgen; Engenhart‐Cabillic, Rita; Gauer, Tobias; Grosu, Anca L.; Schmitt, Daniela; Tanadini‐Lang, Stephanie; Moustakis, Christos

doi:10.1007/s00066-020-01603-1

Cited by 116 publications

(98 citation statements)

References 7 publications

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“…The following technology quality requirements are specified additionally and/or are substantiated specifically for stereotactic radiotherapy and do not render other established guidelines for general radiation protection and radiotherapy obsolete. In the following sections, we first present the specific technological quality requirements as defined by the DEGRO/DGMP consensus statement [1] and then discuss the current state-of-the-art and its limitations based on the literature review.…”

Section: Technological Quality Requirements For Stereotactic Radiothementioning

confidence: 99%

“…The Working Group Radiosurgery and Stereotactic Radiotherapy of the German Society for Radiation Oncology (DEGRO) and the Working Group for Physics and Technology in Stereotactic Radiotherapy of the German Society for Medical Physics (DGMP) jointly published a consensus statement for the definition of and quality requirements for intracranial stereotactic radiosurgery in one single fraction (SRS), intracranial fractionated stereotactic radiotherapy (FSRT), and extracranial stereotactic body radiotherapy (SBRT) [1], further jointly denoted as stereotactic radiotherapy if not specifically addressed.…”

Section: Introductionmentioning

confidence: 99%

“…The present expert review provides the background and details for each of the technological quality requirements for stereotactic radiotherapy as described in the consensus statement [1], taking into account the current state-ofthe-art clinical practice. Furthermore, this review discusses and explores further needs for research and development to overcome unsolved problems.…”

Section: Introductionmentioning

confidence: 99%

“…The authors would also like to specifically and sincerely thank all coauthors of the editorial [1] for their valuable comments and suggestions during the creation and finalization of this manuscript.…”

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confidence: 99%

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Technological quality requirements for stereotactic radiotherapy

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This review details and discusses the technological quality requirements to ensure the desired quality for stereotactic radiotherapy using photon external beam radiotherapy as defined by the DEGRO Working Group Radiosurgery and Stereotactic Radiotherapy and the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The covered aspects of this review are 1) imaging for target volume definition, 2) patient positioning and target volume localization, 3) motion management, 4) collimation of the irradiation and beam directions, 5) dose calculation, 6) treatment unit accuracy, and 7) dedicated quality assurance measures. For each part, an expert review for current state-of-the-art techniques and their particular technological quality requirement to reach the necessary accuracy for stereotactic radiotherapy divided into intracranial stereotactic radiosurgery in one single fraction (SRS), intracranial fractionated stereotactic radiotherapy (FSRT), and extracranial stereotactic body radiotherapy (SBRT) is presented. All recommendations and suggestions for all mentioned aspects of stereotactic radiotherapy are formulated and related uncertainties and potential sources of error discussed. Additionally, further research and development needs in terms of insufficient data and unsolved problems for stereotactic radiotherapy are identified, which will serve as The authors D. Schmitt and O. Blanck contributed equally to the manuscript.

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Section: Technological Quality Requirements For Stereotactic Radiothementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Technological quality requirements for stereotactic radiotherapy

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“…For stereotactic radiotherapy very high and specific technological quality requirements are needed to assure highly precise treatment delivery. These requirements have been comprehensively formulated and defined in the accompanying DEGRO/DGMP editorial and the DGMP review in the present issue [7,8]. Optimal MR imaging is a crucial element for high overall accuracy in stereotactic radiotherapy and ultimately a necessity for treatment success but is frequently overshadowed by the technological requirements that are more closely related to treatment delivery.…”

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confidence: 99%

Magnetic resonance imaging for brain stereotactic radiotherapy

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Due to its superior soft tissue contrast, magnetic resonance imaging (MRI) is essential for many radiotherapy treatment indications. This is especially true for treatment planning in intracranial tumors, where MRI has a long-standing history for target delineation in clinical practice. Despite its routine use, care has to be taken when selecting and acquiring MRI studies for the purpose of radiotherapy treatment planning. Requirements on MRI are particularly demanding for intracranial stereotactic radiotherapy, where accurate imaging has a critical role in treatment success. However, MR images acquired for routine radiological assessment are frequently unsuitable for high-precision stereotactic radiotherapy as the requirements for imaging are significantly different for radiotherapy planning and diagnostic radiology. To assure that optimal imaging is used for treatment planning, the radiation oncologist needs proper knowledge of the most important requirements concerning the use of MRI in brain stereotactic radiotherapy. In the present review, we summarize and discuss the most relevant issues when using MR images for target volume delineation in intracranial stereotactic radiotherapy.

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Role of radiation oncology in modern multidisciplinary cancer treatment

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Cancer care is moving from a disease-focused management toward a patient-centered tailored approach. Multidisciplinary management that aims to define individual, optimal treatment strategies through shared decision making between healthcare professionals and patient is a fundamental aspect of high-quality cancer care and often includes radiation oncology. Advances in technology and radiobiological research allow to deliver ever more tailored radiation treatments in an ever easier and faster way, thus improving the efficacy, safety, and accessibility of radiation therapy. While these changes are improving quality of cancer care, they are also enormously increasing complexity of decision making, thus challenging the ability to deliver quality affordable cancer care. In this review, we provide an updated outline of the role of radiation oncology in the modern multidisciplinary treatment of cancer. Particularly, we focus on the way some developments in key areas of cancer management are challenging multidisciplinary cancer care in the different clinical settings of early, locally advanced, and metastatic disease, thus highlighting some priority areas of research.

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Definition and quality requirements for stereotactic radiotherapy: consensus statement from the DEGRO/DGMP Working Group Stereotactic Radiotherapy and Radiosurgery

Cited by 116 publications

References 7 publications

Technological quality requirements for stereotactic radiotherapy

Technological quality requirements for stereotactic radiotherapy

Magnetic resonance imaging for brain stereotactic radiotherapy

Role of radiation oncology in modern multidisciplinary cancer treatment

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