Patient Care and Research

Consensus Documents

Consensus Documents include types of documents other than guidelines such as Consensus Guidance and White Papers, Practice Parameters and Appropriate Use Criteria. They are based primarily on the consensus of a multidisciplinary panel of experts specializing in the topic, with evidence evaluated when available, and concentrate on areas where the science is evolving.

Consensus Guidance

Defining Oligometastatic Disease from a Radiation Oncology Perspective (ESTRO/ASTRO) - 2020

Safety is No Accident (ASTRO) – 2019

Standardizing Normal Tissue Contouring for Radiation Therapy Treatment Planning (ASTRO) – 2019

MRI and Radiation Exposure in Patients with Cardiovascular Implantable Electronic Devices (HRS/ASTRO) – 2017 

Survivorship Care Plan (ASTRO) – 2016

White Papers

These documents often focus on a technology or process step and describe recommended procedures and considerations for safe delivery of radiation in specific areas of clinical practice.

Minimum Data Elements (ASTRO) – 2019 

Standardizing Dose Prescriptions (ASTRO) – 2016

High-Dose-Rate (HDR) Brachytherapy (ASTRO) – 2014 

Safety Considerations for Image Guided Radiation Therapy (ASTRO) – 2013

​Peer Review to Improve Quality & Safety in Radiation Oncology (ASTRO) – 2013

Intensity Modulated Radiation Therapy (ASTRO) – 2011 

Stereotactic Body Radiation Therapy (ASTRO) – 2011  

Practice Parameters

These are guidance documents that promote the safe and effective use of diagnostic and therapeutic radiation by describing specific training, skills and techniques.

Lutetium-177 (Lu-177) Dotatate Therapy (ACR/ACNM/ASTRO/SNMMI) – 2020

Image Guided Radiation Therapy (ACR/ASTRO) – 2014/Revised 2019

Stereotactic Body Radiation Therapy (ACR/ASTRO) – Revised 2019

Communication: Radiation Oncology (ACR/ASTRO) – 2019

Performance of Therapy with Unsealed Radiopharmaceutical Sources (ACR/ACNM/ASTRO/SNMMI) – Revised 2019

Performance of Therapy with Radium-223 (ACR/ACNM/ASTRO/SNMMI) – 2019

Treatment of Benign and Malignant Thyroid Disease with I-131 Sodium Iodide (ACR/ACNM/ASTRO/SNMMI/SPR) – 2019

Selective Internal Radiation Therapy (SIRT) or Radioembolization with Microsphere Device Brachytherapy Device (RMBD) for Treatment of Liver Malignancies  (ACR/ABS/ACNM/ASTRO/SIR/SNMMI) – Revised 2019

Proton Beam Radiation Therapy (ACR/ASTRO) – 2018

Radiation Oncology (ACR/ASTRO) – 2018  

Total Body Irradiation (ACR/ASTRO) – 2017 

Appropriate Use Criteria

These are guidance statements (using the RAND/UCLA Appropriateness Methodology) based on formal expert rating of patient scenarios where high-quality evidence is lacking.

Delivery of Postoperative Radiation Therapy for Endometrial Cancer (ASTRO) – 2016 

Appropriate Customization of Radiation Therapy for Stage II and III Rectal Cancer (ASTRO) – 2016

Model Policies

Documents developed as a means to efficiently communicate what ASTRO believes to be correct coverage policies for radiation oncology services. View ASTRO's Model Policies on brachytherapy, IMRT, proton beam therapy, SBRT, and SRS.