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Implementation of an image-guided radiation therapy program: Lessons learnt and future challenges

Authors

  • LJ Bell,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
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  • L Oliver,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. Institute of Medical Physics, School of Physics, and
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  • P Vial,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. Institute of Medical Physics, School of Physics, and
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    • *

      Present address: Phil Vial, Department of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres, NSW, Australia.

  • TN Eade,

    Corresponding author
    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. University of Sydney, Sydney, Australia
      Dr Thomas Eade, Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, Pacific Highway, St Leonards, NSW, 2065, Australia.
      Email: TEade@nsccahs.health.nsw.gov.au
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  • M Rinks,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
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  • E Hammond,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
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  • GW Morgan,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. University of Sydney, Sydney, Australia
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  • M Back,

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. University of Sydney, Sydney, Australia
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  • KL Wiltshire

    1. Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales; and
    2. University of Sydney, Sydney, Australia
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    • Present address: Kirsty Wiltshire, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia.


  • LJ Bell B App Sc (MRT), MIR; L Oliver MSc PhD FAIP FACPSEM; P Vial PhD; TN Eade FRANZCR; M Rinks PhD, MIR; E Hammond B App Sc (MRT); GW Morgan FRCP; M Back FRANZCR; KL Wiltshire FRANZCR.

  • Conflicts of interest: None.

Dr Thomas Eade, Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, Pacific Highway, St Leonards, NSW, 2065, Australia.
Email: TEade@nsccahs.health.nsw.gov.au

Summary

The aim of this paper is to detail the experience obtained in implementing an image-guided radiation therapy program at the Northern Sydney Cancer Centre. This required retrofitting a Varian Clinac 21EX with an on-board imager. The commissioning and quality assurance procedures, organisation of a multidisciplinary image guided radiation therapy group, and the development of clinical protocols for orthogonal kV and cone beam computed tomography implementation are described. Reassessment of the image-guided radiation therapy program has continued as new equipment and software versions were made available in the department.

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