Patient Care and Research

ASTRO White Paper on Quality and Safety Considerations in Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy (SBRT)

Published: January 2012

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This white paper builds on previous guidance documents and broadly addresses SRS and 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. Robust procedures should be 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 document discusses the complexity and variation inherent in SRS and SBRT, especially since 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.

Endorsed by:

  • American Association of Physicists in Medicine
  • American Association of Medical Dosimetrists
  • American Society of Radiologic Technologist


ASTRO’s SBRT Model Policy
Patient Brochure