Frank Steven J, Das Indra J, Simone Charles B, Davis Brian J, Deville Curtiland, Liao Zhongxing, Lo Simon S, McGovern Susan L, Parikh Rahul R, Reilly Michael, Small William, Schechter Naomi R
The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Int J Part Ther. 2024 Apr 25;13:100021. doi: 10.1016/j.ijpt.2024.100021. eCollection 2024 Sep.
This practice parameter for the performance of proton beam radiation therapy was revised collaboratively by the American College of Radiology (ACR) and the American Radium Society (ARS). This practice parameter was developed to serve as a tool in the appropriate application of proton therapy in the care of cancer patients or other patients with conditions in which radiation therapy is indicated. It addresses clinical implementation of proton radiation therapy, including personnel qualifications, quality assurance (QA) standards, indications, and suggested documentation.
This practice parameter for the performance of proton beam radiation therapy was developed according to the process described under the heading The Process for Developing ACR Practice Parameters and Technical Standards on the ACR website (https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards) by the Committee on Practice Parameters - Radiation Oncology of the ACR Commission on Radiation Oncology in collaboration with the ARS.
The qualifications and responsibilities of personnel, such as the proton center Chief Medical Officer or Medical Director, Radiation Oncologist, Radiation Physicist, Dosimetrist and Therapist, are outlined, including the necessity for continuing medical education. Proton therapy standard clinical indications and methodologies of treatment management are outlined by disease site and treatment group (e.g. pediatrics) including documentation and the process of proton therapy workflow and equipment specifications. Additionally, this proton therapy practice parameter updates policies and procedures related to a quality assurance and performance improvement program (QAPI), patient education, infection control, and safety.
As proton therapy becomes more accessible to cancer patients, policies and procedures as outlined in this practice parameter will help ensure quality and safety programs are effectively implemented to optimize clinical care.
本质子束放射治疗的实践参数由美国放射学会（ACR）和美国镭学会（ARS）联合修订。制定该实践参数旨在作为一种工具，用于在癌症患者或其他有放射治疗指征的患者护理中合理应用质子治疗。它涉及质子放射治疗的临床实施，包括人员资质、质量保证（QA）标准、适应证以及建议的文档记录。
本质子束放射治疗的实践参数是根据ACR网站（https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards）上“制定ACR实践参数和技术标准的流程”标题下所述的流程，由ACR放射肿瘤学委员会的实践参数委员会 - 放射肿瘤学与ARS合作制定。
概述了人员的资质和职责，如质子中心首席医疗官或医学主任、放射肿瘤学家、放射物理学家、剂量师和治疗师，包括继续医学教育的必要性。按疾病部位和治疗组（如儿科）概述了质子治疗的标准临床适应证和治疗管理方法，包括文档记录以及质子治疗工作流程和设备规格。此外，本质子治疗实践参数更新了与质量保证和绩效改进计划（QAPI）、患者教育、感染控制和安全相关的政策和程序。
随着癌症患者更容易获得质子治疗，本实践参数中概述的政策和程序将有助于确保有效实施质量和安全计划，以优化临床护理。
