Quality and Safety Considerations in Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy

  • Publication - 2011

    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.

    Read the executive summary
    Read the full statement


    Resources
    ASTRO’s SBRT Model Policy

    Author Society
    American Society for Radiation Oncology

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

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    ASTRO guidelines present scientific, health, and safety information and may reflect scientific or medical opinion. They are available to ASTRO members and the public for educational and informational purposes only. Commercial use of any content in this guideline without the prior written consent of ASTRO is strictly prohibited.