ArticleTechnical innovations & patient support in radiation oncology2019
RTT-led IGRT for cervix cancer; training, implementation and validation.
Article in Technical innovations & patient support in radiation oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Enhancing Radiation Therapy Technologists' (RTTs) autonomy in IGRT through structured training: a Protocol for a Quality Improvement Project.Radiation oncology (London, England) · 2026Article
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- Mechanically assisted non-invasive ventilation for liver SABR: Improve CBCT, treat more accurately.Clinical and translational radiation oncology · 2025Article
- Quantitative and automatic plan-of-the-day assessment to facilitate adaptive radiotherapy in cervical cancer.Physics in medicine and biology · 2025Article
- Proton beam therapy image-guided radiotherapy training for RTTs - Experience from a single institution.Technical innovations & patient support in radiation oncology · 2025Article
- A code orange for traffic-light-protocols as a communication mechanism in IGRT.Technical innovations & patient support in radiation oncology · 2024Article
- Online adaptive MR-guided radiotherapy: Conformity of contour adaptation for prostate cancer, rectal cancer and lymph node oligometastases among radiation therapists and radiation oncologists.Technical innovations & patient support in radiation oncology · 2022Article
- Pathway for radiation therapists online advanced adapter training and credentialing.Technical innovations & patient support in radiation oncology · 2021Article
- A decision tool for radiographer-led abdominal image-guided stereotactic ablative body radiotherapy - Experience from a single institution.Technical innovations & patient support in radiation oncology · 2021Article
- The implementation of an advanced practice radiation therapy (APRT) program in Singapore.Technical innovations & patient support in radiation oncology · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
introductionIGRT in cervical cancer treatment delivery is complex due to significant target and organs at risk (OAR) motion. Implementing image assessment of soft-tissue target and OAR position to improve accuracy is recommended. We report the development and refinement of a training and competency programme (TCP), leading to on-line Radiation Therapist (RTT) led soft-tissue assessment, evaluated by a prospective audit. METHODS AND MATERIALS: The TCP comprised didactic lectures and practical sessions, supported by a comprehensive workbook. The content was decided by a team comprised of Clinical Oncologists, RTTs, and Physicists. On completion of training, RTT soft-tissue review proficiency (after bony anatomy registration) was assessed against a clinician gold-standard from a database of 20 cervical cancer CBCT images. Reviews were graded pass or fail based on PTV coverage assessment and decision taken in concordance with the gold-standard. Parity was set at ≥80% agreement.The initial TCP (stage one) focussed on offline verification and decision making. Sixteen RTTs completed this stage, four achieved ≥80%. This was not sufficient to support clinical implementation.The TCP was redesigned, more stringent review guidelines and greater anatomy teaching was added. TCP stage two focussed on online verification and decision making supported by a decision flowchart. Twenty-one RTTs completed this TCP, all achieved ≥80%. This supported clinical implementation of RTT-led soft-tissue review under prospective audit conditions.The prospective audit was conducted between March 2017 and August 2017. Daily online review was performed by two trained RTTs. Online review and decision making proficiency was evaluated by a clinician.
resultsThirteen patients were included in the audit. Daily online RTT-led IGRT was achieved for all 343 fractions. Two-hundred CBCT images were reviewed offline by the clinician; the mean number of reviews per patient was 15. 192/200 (96%) RTT image reviews were in agreement with clinician review, presenting excellent concordance. DISCUSSION AND
conclusionMultidisciplinary involvement in training development, redesign of the TCP and inclusion of summative competency assessment were important factors to support RTT skill development. Consequently, RTT-led cervical cancer soft-tissue IGRT was clinically implemented in the hospital.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.