Integrating the Healthcare Enterprise in Radiation Oncology Plug and Play—The Future of Radiation Oncology?

Abdel‐Wahab, May; Rengan, Ramesh; Curran, Bruce; Swerdloff, S.J.; Miettinen, Mika; Field, Colin; Ranjitkar, Sunita; Palta, Jatinder; Tripuraneni, Prabhakar

doi:10.1016/j.ijrobp.2009.10.001

Cited by 19 publications

(8 citation statements)

References 1 publication

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“…Indeed, the field has spent much time assuring that computers communicate well with each other (eg, through the Integrating the Healthcare Enterprise-Radiation Oncology [IHE-RO] initiative). 17,18 Computer interconnectivity is vitally important to enable the correct automatic transfer of data. However, additional efforts are needed to standardize computer-to-human and human-to-human communication (Fig 1).…”

Section: Radiation Oncologymentioning

confidence: 99%

Standardizing dose prescriptions: An ASTRO white paper

Evans

Fraass

Berner

et al. 2016

Practical Radiation Oncology

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This white paper recommends the standardization (content and presentation order) of several "key components" of the radiation therapy prescription to facilitate accurate communication between radiation therapy care providers. The rationale, other similar efforts, and detailed considerations are described. In brief, the Task Force recommends that the prescription's "elements" include: treatment site, method of delivery, dose per fraction, total number of fractions, total dose (eg, right breast, tangent photons, 267 cGy * 16 = 4272 cGy). A similar formalism is recommended for brachytherapy (eg, cervix, Ir-192 brachytherapy, 600cGy * 5 = 3000 cGy) and other modalities. The white paper also considers future directions for other items such as the simulation order, treatment planning objectives, prescription point or volume, treatment schedule, localization imaging, laboratory monitoring, concurrent chemotherapy, patient instructions for treatment, etc. The intent of this white paper is to facilitate accurate communication among providers to support safe practice as well as to guide vendors in product development that is consistent with this standard prescription.

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Section: Radiation Oncologymentioning

confidence: 99%

Standardizing dose prescriptions: An ASTRO white paper

Evans

Fraass

Berner

et al. 2016

Practical Radiation Oncology

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“…More standardization into the operation of the machines and improved interconnectivity is also needed. 33 Guidance regarding prerequisites for developing new technology should furthermore be made available. 34 …”

Section: Availability and How To Assess Needs In Radiotherapymentioning

confidence: 99%

Global Radiotherapy: Current Status and Future Directions—White Paper

Abdel‐Wahab

Gondhowiardjo

Rosa

et al. 2021

JCO Global Oncology

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Recognizing the increase in cancer incidence globally and the need for effective cancer control interventions, several organizations, professional bodies, and international institutions have proposed strategies to improve treatment options and reduce mortality along with minimizing overall incidence. Despite these efforts, an estimated 9.6 million deaths in 2018 was attributed to this noncommunicable disease, making it the second leading cause of death worldwide. Left unchecked, this will further increase in scale, with an estimated 29.5 million new cases and 16.3 million deaths occurring worldwide in 2040. Although it is known and generally accepted that cancer services must include radiotherapy, such access is still very limited in many parts of the world, especially in low- and middle-income countries. After thorough review of the current status of radiotherapy including programs worldwide, as well as achievements and challenges at the global level, the International Atomic Energy Agency convened an international group of experts representing various radiation oncology societies to take a closer look into the current status of radiotherapy and provide a road map for future directions in this field. It was concluded that the plethora of global and regional initiatives would benefit further from the existence of a central framework, including an easily accessible repository through which better coordination can be done. Supporting this framework, a practical inventory of competencies needs to be made available on a global level emphasizing the knowledge, skills, and behavior required for a safe, sustainable, and professional practice for various settings. This white paper presents the current status of global radiotherapy and future directions for the community. It forms the basis for an action plan to be developed with professional societies worldwide.

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“…Although the medical physicist could be involved with the latter "just-in-time" daily treatment changes, my guess is that this will become part of the medical dosimetrists' job. 13 Another area of technological advancement from an evolutionary perspective is the idea of "canned" isodose curves for treatment planning. Using this type of technology, which is already occurring, the role of the medical dosimetrist could diminish as treatment plans are kept in libraries.…”

Section: Technological Factors: the Faustian Pactmentioning

confidence: 99%

The Future of Medical Dosimetry

Adams

2015

Medical Dosimetry

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Integrating the Healthcare Enterprise in Radiation Oncology Plug and Play—The Future of Radiation Oncology?

Cited by 19 publications

References 1 publication

Standardizing dose prescriptions: An ASTRO white paper

Standardizing dose prescriptions: An ASTRO white paper

Global Radiotherapy: Current Status and Future Directions—White Paper

The Future of Medical Dosimetry

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