Department of Radiotherapy, Beatson West of Scotland Cancer Centre, Glasgow, UK.
University of Toronto, Toronto, Ontario, Canada; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Clin Oncol (R Coll Radiol). 2020 Dec;32(12):852-860. doi: 10.1016/j.clon.2020.09.009. Epub 2020 Oct 18.
The ability to personalise radiotherapy to fit the individual patient and their diagnosis has been realised through technological advancements. There is now more opportunity to utilise these technologies and deliver precision radiotherapy for more patients. Image-guided radiotherapy (IGRT) has enabled users to safely and accurately plan, treat and verify complex cases; and deliver a high dose to the target volume, while minimising dose to normal tissue. Rapid changes in IGRT have required a multidisciplinary team (MDT) approach, carefully deciding optimum protocols to achieve clinical benefit. Therapeutic radiographer/radiation therapists (RTTs) play a pivotal role in this MDT. There is already a great deal of evidence that illustrates the contribution of RTTs in IGRT development; implementation; quality assurance; and maintaining training and competency programmes. Often this has required the RTT to undertake additional roles and responsibilities. These publications show how the profession has evolved, expanding the scope of practice. There are now more opportunities for RTT-led IGRT research. This is not only undertaken in the more traditional aspects of practice, but in recent times, more RTTs are becoming involved in imaging biomarkers research and radiomic analysis. The aim of this overview is to describe the RTT contribution to the ongoing development of IGRT and to showcase some of the profession's involvement in IGRT research.
通过技术进步，已经实现了将放射治疗个性化以适应个体患者及其诊断的能力。现在有更多机会利用这些技术为更多患者提供精确放射治疗。图像引导放射治疗（IGRT）使用户能够安全、准确地规划、治疗和验证复杂病例；并将高剂量输送到靶体积，同时将剂量最小化到正常组织。IGRT 的快速变化需要多学科团队（MDT）的方法，仔细决定最佳方案以实现临床获益。治疗放射技师/放射治疗师（RTT）在这个 MDT 中起着关键作用。已经有大量证据表明 RTT 在 IGRT 发展、实施、质量保证以及维持培训和能力计划方面做出了贡献。通常，这要求 RTT 承担额外的角色和责任。这些出版物展示了该专业是如何发展的，扩大了实践范围。现在，RTT 领导的 IGRT 研究有了更多的机会。这不仅在更传统的实践方面进行，而且近年来，更多的 RTT 开始参与成像生物标志物研究和放射组学分析。本综述的目的是描述 RTT 对 IGRT 不断发展的贡献，并展示该专业在 IGRT 研究中的一些参与情况。
