Department of Radiation Oncology, Central West Cancer Care Centre, Orange Hospital, Orange, NSW, Australia.
Research Office, Allied Health & Innovation, Western NSW Local Health District, Orange, NSW, Australia.
Aust J Rural Health. 2020 Jun;28(3):311-316. doi: 10.1111/ajr.12630. Epub 2020 Jun 4.
Availability of advanced radiotherapy technology to treat cancer is limited in regional Australia. At Central West Cancer Care Centre, the utilisation rate of intensity-modulated radiotherapy and volumetric modulated arc therapy was significantly lower compared to other NSW public health services. Stereotactic ablative body radiotherapy treatment was not available at Central West Cancer Care Centre.
To increase the intensity-modulated radiotherapy/volumetric modulated arc therapy utilisation rate and to make stereotactic ablative body radiotherapy treatment available through quality improvement projects with multi-disciplinary collaboration.
Central West Cancer Care Centre is part of Western NSW Local health District. Central West Cancer Care Centre has two linear accelerators for delivering intensity-modulated radiotherapy, volumetric modulated arc therapy and stereotactic ablative body radiotherapy treatments, and a computed tomography simulator with 4D computed tomography capability.
Intensity-modulated radiotherapy/volumetric modulated arc therapy utilisation rate increases to > 65% Stereotactic ablative body radiotherapy available to Central West Cancer Care Centre patients STRATEGY FOR CHANGE: A multi-disciplinary active of team radiation oncologists, medical physics specialists and radiation therapists developed an implementation plan for each treatment technique.
There was a significant increase in use of advanced techniques. The impact on patients included the following: Fewer side effects and improved control of disease as the advanced techniques directed the dose to the tumour and reduced the radiation dose to organ at risk. Treatment completed sooner than conventional radiotherapy, as the required dose required fewer trips to the hospital. Rural and remote patients were not required to travel to a metropolitan centre to have stereotactic ablative body radiotherapy treatment.
Strong commitment from a trained team and a collaborative approach is important for the implementation of advanced technology in regional centres.
在澳大利亚偏远地区，先进的癌症放射治疗技术的可及性有限。在中西部癌症治疗中心，与新南威尔士州其他公共卫生服务机构相比，调强放疗和容积旋转调强放疗的利用率明显较低。中西部癌症治疗中心没有立体定向消融体放射治疗。
通过多学科合作的质量改进项目，提高调强放疗/容积旋转调强放疗的利用率，并提供立体定向消融体放射治疗。
中西部癌症治疗中心是新南威尔士州西部地方卫生区的一部分。中西部癌症治疗中心有两台直线加速器，用于提供调强放疗、容积旋转调强放疗和立体定向消融体放射治疗，以及一台具有 4D 计算机断层扫描功能的计算机断层扫描模拟器。
调强放疗/容积旋转调强放疗利用率增加到>65% 立体定向消融体放射治疗可用于中西部癌症治疗中心的患者
一组放射肿瘤学家、医学物理专家和放射治疗师组成的多学科团队制定了每种治疗技术的实施计划。
先进技术的使用显著增加。对患者的影响包括：副作用减少，疾病控制改善，因为先进技术将剂量集中在肿瘤上，减少了对危险器官的辐射剂量。治疗完成时间比常规放疗短，因为所需的剂量减少了到医院的次数。农村和偏远地区的患者无需前往大都市中心接受立体定向消融体放射治疗。
训练有素的团队的坚定承诺和协作方法对于在区域中心实施先进技术非常重要。
