Whitton A, Warde P, Sharpe M, Oliver T K, Bak K, Leszczynski K, Etheridge S, Fleming K, Gutierrez E, Favell L, Green E
Radiation Treatment Program, Cancer Care Ontario, Toronto, Ontario, Canada.
Clin Oncol (R Coll Radiol). 2009 Apr;21(3):192-203. doi: 10.1016/j.clon.2008.10.005. Epub 2008 Dec 5.
By minimising the effect of irradiation on surrounding tissue, intensity-modulated radiation therapy (IMRT) can deliver higher, more effective doses to the targeted tumour site, minimising treatment-related morbidity and possibly improving cancer control and cure. A multidisciplinary IMRT Expert Panel was convened to develop the organisational standards for the delivery of IMRT. The systematic literature search used MEDLINE, EMBASE, the Cochrane Database, the National Guidelines Clearing House and the Health Technology Assessment Database. An environmental scan of unpublished literature used the Google search engine to review the websites of key organisations, cancer agencies/centres and vendor sites in Canada, the USA, Australia and Europe. In total, 22 relevant guidance documents were identified; 12 from the published literature and 10 from the environmental scan. Professional and organisational standards for the provision of IMRT were developed through the analysis of this evidence and the consensus opinion of the IMRT Expert Panel. The resulting standards address the following domains: planning of new IMRT programmes, practice setting requirements, tools, devices and equipment requirements; professional training requirements; role of personnel; and requirements for quality assurance and safety. Here the IMRT Expert Panel offers organisational and professional standards for the delivery of IMRT, with the intent of promoting innovation, improving access and enhancing patient care.
通过将辐射对周围组织的影响降至最低，调强放射治疗（IMRT）能够向目标肿瘤部位提供更高、更有效的剂量，将与治疗相关的发病率降至最低，并有可能改善癌症控制和治愈率。一个多学科的IMRT专家小组召开会议，制定IMRT实施的组织标准。系统的文献检索使用了MEDLINE、EMBASE、Cochrane数据库、国家指南交换中心和卫生技术评估数据库。对未发表文献的环境扫描使用谷歌搜索引擎，以审查加拿大、美国、澳大利亚和欧洲的主要组织、癌症机构/中心和供应商网站。总共确定了22份相关指导文件；12份来自已发表文献，10份来自环境扫描。通过对这些证据的分析以及IMRT专家小组的共识意见，制定了提供IMRT的专业和组织标准。由此产生的标准涉及以下领域：新IMRT项目的规划、实践环境要求、工具、设备和器材要求；专业培训要求；人员职责；以及质量保证和安全要求。在此，IMRT专家小组提供IMRT实施的组织和专业标准，旨在促进创新、改善可及性并加强患者护理。
