Does a central review platform improve the quality of radiotherapy for rectal cancer? Results of a national quality assurance project.
Radiother Oncol
; 111(3): 400-5, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24746578
ABSTRACT
BACKGROUND AND PURPOSE:
Quality assurance (QA) for radiation treatment has become a priority since poorly delivered radiotherapy can negatively influence patient outcome. Within a national project we evaluated the feasibility of a central review platform and its role in improving uniformity of clinical target volume (CTV) delineation in daily practice. MATERIAL ANDMETHODS:
All Belgian radiotherapy departments were invited to participate and were asked to upload CTVs for rectal cancer treatment onto a secured server. These were centrally reviewed and feedback was given per e-mail. For each five consecutive patients per centre, the overlap parameter dice coefficient (DC) and the volumetric parameters volumetric ratio (RV) and commonly contoured volume (VCC) were calculated.RESULTS:
Twenty departments submitted 1224 eligible cases of which 909 were modified (74.3%). There was a significant increase in RV and VCC between the first ten patients per centre and the others. This was not seen for DC. Statistical analysis did not show a further significant improvement in delineation over the entire review period.CONCLUSION:
Central review was feasible and increased the uniformity in CTV delineation in the first ten rectal cancer patients per centre. The observations in this study can be used to optimize future QA initiatives.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Retais
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Planejamento da Radioterapia Assistida por Computador
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Radioterapia (Especialidade)
Limite:
Adult
/
Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Radiother Oncol
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Bélgica