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Strahlentherapie und Onkologie
Published in: Strahlentherapie und Onkologie 5/2020

Open Access 01-05-2020 | Radiotherapy | Review Article

Technological quality requirements for stereotactic radiotherapy

Expert review group consensus from the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy

Authors: Daniela Schmitt, PhD, Oliver Blanck, PhD, Tobias Gauer, PhD, Michael K. Fix, PhD, Thomas B. Brunner, MD, Jens Fleckenstein, PhD, Britta Loutfi-Krauss, MSc, Peter Manser, PhD, Rene Werner, PhD, Maria-Lisa Wilhelm, MSc, Wolfgang W. Baus, PhD, Christos Moustakis, PhD

Published in: Strahlentherapie und Onkologie | Issue 5/2020

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Abstract

This review details and discusses the technological quality requirements to ensure the desired quality for stereotactic radiotherapy using photon external beam radiotherapy as defined by the DEGRO Working Group Radiosurgery and Stereotactic Radiotherapy and the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The covered aspects of this review are 1) imaging for target volume definition, 2) patient positioning and target volume localization, 3) motion management, 4) collimation of the irradiation and beam directions, 5) dose calculation, 6) treatment unit accuracy, and 7) dedicated quality assurance measures. For each part, an expert review for current state-of-the-art techniques and their particular technological quality requirement to reach the necessary accuracy for stereotactic radiotherapy divided into intracranial stereotactic radiosurgery in one single fraction (SRS), intracranial fractionated stereotactic radiotherapy (FSRT), and extracranial stereotactic body radiotherapy (SBRT) is presented. All recommendations and suggestions for all mentioned aspects of stereotactic radiotherapy are formulated and related uncertainties and potential sources of error discussed. Additionally, further research and development needs in terms of insufficient data and unsolved problems for stereotactic radiotherapy are identified, which will serve as a basis for the future assignments of the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy. The review was group peer-reviewed, and consensus was obtained through multiple working group meetings.
Appendix
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Metadata
Title
Technological quality requirements for stereotactic radiotherapy
Expert review group consensus from the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy
Authors
Daniela Schmitt, PhD
Oliver Blanck, PhD
Tobias Gauer, PhD
Michael K. Fix, PhD
Thomas B. Brunner, MD
Jens Fleckenstein, PhD
Britta Loutfi-Krauss, MSc
Peter Manser, PhD
Rene Werner, PhD
Maria-Lisa Wilhelm, MSc
Wolfgang W. Baus, PhD
Christos Moustakis, PhD
Publication date
01-05-2020
Publisher
Springer Berlin Heidelberg
Keyword
Radiotherapy
Published in
Strahlentherapie und Onkologie / Issue 5/2020
Print ISSN: 0179-7158
Electronic ISSN: 1439-099X
DOI
https://doi.org/10.1007/s00066-020-01583-2

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