Roy Amit, Andruska Neal, Orlowski Hilary L P, Pipkorn Patrik, Daly Mackenzie D
Department of Radiation Oncology, Washington University School of Medicine, St Louis, Missouri.
Department of Radiology, Washington University School of Medicine, St Louis, Missouri.
Adv Radiat Oncol. 2021 Mar-Apr;6(2):100598. doi: 10.1016/j.adro.2020.10.011. Epub 2020 Oct 24.
Multidisciplinary involvement in radiation therapy (RT) treatment planning is currently underused. A radiation oncologist sought input for generating target contours from a neuro-radiologist (NR) and otolaryngologist (OL) for 3 patients requiring skull-base RT during the coronavirus disease 2019 pandemic. A Health Insurance Portability and Accountability Act compliant virtual meeting between the radiation oncologist, NR, and OL was arranged. Involvement of the OL and NR led to significant changes in the clinical target volume for all patients. Our experience highlights the feasibility of using commercially available video-conference platforms for multidisciplinary target volume delineation for complex RT cases. Further applications include interdisciplinary contour review for RT cases requiring special expertise and joint attending/resident physician contour review for resident education. The video-conference platform technology has demonstrated benefit during the coronavirus disease 2019 pandemic, and we believe it will remain an integral component of our field moving forward.
多学科参与放射治疗(RT)治疗计划目前未得到充分利用。在2019年冠状病毒病大流行期间,一位放射肿瘤学家就3例需要进行颅底放疗的患者,寻求神经放射科医生(NR)和耳鼻喉科医生(OL)提供生成靶区轮廓的意见。安排了一次符合《健康保险流通与责任法案》的放射肿瘤学家、NR和OL之间的虚拟会议。OL和NR的参与导致所有患者的临床靶区体积发生了显著变化。我们的经验凸显了使用商用视频会议平台对复杂放疗病例进行多学科靶区勾画的可行性。进一步的应用包括对需要特殊专业知识的放疗病例进行跨学科轮廓审查,以及为住院医师教育进行联合主治医生/住院医师轮廓审查。视频会议平台技术在2019年冠状病毒病大流行期间已显示出益处,我们相信它将继续成为我们这个领域不可或缺的组成部分。