2021
DOI: 10.1016/j.tipsro.2020.12.001
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Take Action Protocol: A radiation therapist led approach to act on anatomical changes seen on CBCT

Abstract: Until recently Traffic Light Protocols (TLP) have been developed to recognize and react to Anatomical Changes (ACs) seen on Cone Beam Computer Tomography (CBCT) scans for the most common treatment sites. This involves alerting the Radiation Oncologist (RO), handing over findings, and RO providing the final decision, making it quite labour-intensive for the ROs as well as the Radiation Therapists (RTTs). A new approach was developed to act on ACs: the Take Action Protocol (TAP). In this protocol the RTTs do not… Show more

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Cited by 8 publications
(2 citation statements)
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“…In current radiotherapy routine, registration and interpretation of cone-beam CT (CBCT) information is commonly performed by radiation therapists (RTTs) [1,2]. Subsequently, based on action levels, RTTs decides if the radiotherapy fraction can start, or if a medical physicist (MP) or radiation oncologist (RO) should be called for consultation.…”
Section: Introductionmentioning
confidence: 99%
“…In current radiotherapy routine, registration and interpretation of cone-beam CT (CBCT) information is commonly performed by radiation therapists (RTTs) [1,2]. Subsequently, based on action levels, RTTs decides if the radiotherapy fraction can start, or if a medical physicist (MP) or radiation oncologist (RO) should be called for consultation.…”
Section: Introductionmentioning
confidence: 99%
“…To achieve this, the radiation therapist will need to move beyond a task shifting role, to a more consultive role, bringing what is currently considered as advanced practice functioning to the standard practice radiation therapy team. There are many examples of advanced practice radiation therapists demonstrating a high level of autonomy and expert skill in formulating clinical decisions and appropriate patient management [30] , [31] , [32] , [33] . They provide comprehensive supportive care and toxicity management, streamline complex processes, reduce handovers and team interruptions, and improve continuity of care.…”
Section: Image Guided Radiation Therapy (Igrt) and Adaptive Radiation...mentioning
confidence: 99%