ACR and ASTRO Practice Guideline for the Performance of Stereotactic Radiosurgery

http://www.ncbi.nlm.nih.gov/pubmed/23681017

Am J Clin Oncol. 2013 Jun;36(3):310-315.

American College of Radiology (ACR) and American Society for Radiation Oncology (ASTRO) Practice Guideline for the Performance of Stereotactic Radiosurgery (SRS).

Seung SK, Larson DA, Galvin JM, Mehta MP, Potters L, Schultz CJ, Yajnik SV, Hartford AC, Rosenthal SA.

Source

*Department of Radiation Oncology, The Oregon Clinic, Portland, OR †Department of Radiation Oncology, University of California-San Francisco, San Francisco, CA ‡Department of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA §Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL ∥Department of Radiation Oncology, North Shore-LIJ Health System, New Hyde Park, NY ¶Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI #Radiation Oncology Consultants, Park Ridge, IL **Section of Radiation Oncology, Department of Medicine, Dartmouth Medical School, Hanover, NH ††Radiation Oncology Centers, Sacramento, CA.

Abstract

American College of Radiology and American Society for Radiation Oncology Practice Guideline for the Performance of Stereotactic Radiosurgery (SRS). SRS is a safe and efficacious treatment option of a variety of benign and malignant disorders involving intracranial structures and selected extracranial lesions. SRS involves a high dose of ionizing radiation with a high degree of precision and spatial accuracy. A quality SRS program requires a multidisciplinary team involved in the patient management. Organization, appropriate staffing, and careful adherence to detail and to established SRS standards is important to ensure operational efficiency and to improve the likelihood of procedural success. A collaborative effort of the American College of Radiology and American Society for Therapeutic Radiation Oncology has produced a practice guideline for SRS. The guideline defines the qualifications and responsibilities of all the involved personnel, including the radiation oncologist, neurosurgeon, and qualified medical physicist. Quality assurance is essential for safe and accurate delivery of treatment with SRS. Quality assurance issues for the treatment unit, stereotactic accessories, medical imaging, and treatment-planning system are presented and discussed. Adherence to these practice guidelines can be part of ensuring quality and patient safety in a successful SRS program.