Quality and Safety Considerations in Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy (SRS/SBRT) (2011)
Authors: Timothy D. Solberg, PhD, James M. Balter, PhD, Stanley H. Benedict, PhD, Benedick A. Fraass, PhD, FASTRO, Brian Kavanagh, MD, Curtis Miyamoto, MD, Todd Pawlicki, PhD, Louis Potters, MD, FASTRO, and Yoshiya Yamada, MD
This report builds on guidance in previous documents and broadly addresses SRS/SBRT delivery, with a primary focus on programmatic elements and human processes that can identify and correct potential sources of error, particularly those which can result in catastrophic consequences. Recent media attention to several serious radiosurgery mistakes have served to add even more emphasis to the need to have robust procedures in place to address the potential for errors due to limitations in equipment safety design, quality assurance systems and procedures, and human knowledge and training to avoid serious failures. This white paper discusses the complexity and variation inherent in SRS and SBRT, especially taking into account the fact that it is used for many different disease sites, and considers the issues programs must be cognizant of related to staffing and training, simulation and planning technologies, acceptance and commissioning of treatment machines, and quality assurance.
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