Abstract:Stereotactic radiotherapy (SRT) has the characteristics of large irradiation dose per fraction, few fraction sessions and sharp dose falloff out of the target volume. During the radiotherapy treatment, the most precise equipments should be used, and the strictest and most standardized operations should be performed. The purpose of this guideline is to establish the minimum level of medical physics support deemed prudent for the practice of linear-accelerator, photon-based (Linac) stereotactic (cranial) radiation therapy (SRT) services in China, aiming to help institutions in China to carry out SRT technology correctly and safely. When using this guideline, each institution should develop clear and detailed standard operating procedures according to their SRT equipment-specific or patient-specific requirements.
National Cancer Center/National Cancer Quality Control Center. Medical physics practice guidelines for Linac-based stereotactic radiotherapy[J]. Chinese Journal of Radiation Oncology, 2022, 31(6): 493-512.
[1] 国家质量监督检验检疫总局. GB/T17857-1999 医用放射学术语(放射治疗、核医学和辐射剂量学设备)[S].北京:中国标准出版社,1999. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. GB/T17857-1999, medical radiology-terminology (equipment for radiotherapy, nuclear medicine and radiation dosimetry)[S]. Beijing:Standards Press of China, 1999. [2] 胡逸民, 张红志, 戴建荣. 肿瘤放射物理学[M]. 北京:中国原子能出版社,1999. Hu YM, Zhang HZ, Dai JR. Radiation oncology physics[M]. Beijing:Atomic Energy Press, 1999. [3] Halvorsen PH, Cirino E, Das IJ, et al. AAPM-RSS Medical physics practice guideline 9.a. for SRS-SBRT[J]. J Appl Clin Med Phys, 2017, 18(5):10-21. DOI:10.1002/acm2.12146. [4] 国家癌症中心. NCC/T-RT 001-2017 放射治疗质量控制基本指南[S], 2017. National Cancer Center. NCC/T-RT 001-2017 Basic guidelines of quality control for radiotherapy[S], 2017. [5] Potters L, Kavanagh B, Galvin JM, et al. American Society for Therapeutic Radiology and Oncology (ASTRO) and American College of Radiology (ACR) practice guideline for the performance of stereotactic body radiation therapy[J]. Int J Radiat Oncol Biol Phys, 2010, 76(2):326-332. DOI:10.1016/j.ijrobp.2009.09.042. [6] Mutic S, Palta JR, Butker EK, et al. Quality assurance for computed-tomography simulators and the computed-tomography-simulation process:report of the AAPM Radiation Therapy Committee Task Group No. 66[J]. Med Phys, 2003, 30(10):2762-2792. DOI:10.1118/1.1609271. [7] Almond PR, Attix FH, Humphries LJ, et al. The calibration and use of plane-parallel ionization chambers for dosimetry of electron beams:an extension of the 1983 AAPM protocol report of AAPM radiation therapy committee task group no. 39[J]. Med Phys, 1994, 21(8):1251-1260. DOI:10.1118/1.597359. [8] 中华人民共和国卫生部. WS/T 263-2006 医用磁共振成像(MRI)设备影像质量检测与评价规范[S]. 北京:人民卫生出版社,2006. Ministry of Health of the People's Republic of China. WS/T 263-2006, Specification of image quality test and evaluation for medical magnetic resonance imaging (MRI) equipment[S]. Beijing:People's medical publishing house, 2006. [9] 陈辛元, 韩伟, 宋一昕, 等. MRI模拟定位机的选型安装和验收测试[J]. 中华放射肿瘤学杂志, 2017, 26(5):603-606. DOI:10.3760/cma.j.issn.1004-4221.2017.05.027. Chen XY, Han W, Song YX, et al. Selection, installation, and acceptance test of MRI simulator[J]. Chin J Radiat Oncol, 2017, 26(5):603-606. DOI:10.3760/cma.j.issn.1004-4221.2017.05.027. [10] Och JG, Clarke GD, Sobol WT, et al. Acceptance testing of magnetic resonance imaging systems:report of AAPM Nuclear Magnetic Resonance Task Group No. 6[J]. Med Phys, 1992, 19(1):217-229. DOI:10.1118/1.596903. [11] Klein EE, Hanley J, Bayouth J, et al. Task Group 142 report:quality assurance of medical accelerators[J]. Med Phys, 2009, 36(9):4197-4212. DOI:10.1118/1.3190392. [12] Fraass B, Doppke K, Hunt M, et al. American Association of Physicists in Medicine radiation therapy committee task group 53:Quality assurance for clinical radiotherapy treatment planning[J]. Med Phys, 1998, 25(10):1773-1829. DOI:10.1118/1.598373. [13] Jamema SV, Upreti RR, Sharma S, et al. Commissioning and comprehensive quality assurance of commercial 3D treatment planning system using IAEA technical Report Series – 430[J]. Australas Phys Eng Sci Med, 2008, 31(3):207-215. [14] 国家质量监督检验检疫总局. YY/T 0798-2010 放射治疗计划系统质量保证指南[S]. 北京:中国标准出版社,2010. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. YY/T 0798-2010, radiotherapy treatment planning system-guidelines for quality assurance[S]. Beijing:Standards Press of China, 2010. [15] 国家质量监督检验检疫总局. YY 0832.2-2015 X辐射放射治疗立体定向及计划系统第2部分:体部X 辐射放射治疗立体定向及计划系统[S]. 北京:中国标准出版社,2015. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. YY 0832.2-2015, stereotactic and planning system for radiotherapy with X-radiation. Part 2:Stereotactic and planning system for radiotherapy with X-radiation for body lesion[S]. Beijing:Standards Press of China, 2015. [16] 国家质量监督检验检疫总局,YY 0831.1-2011 γ射束立体定向放射治疗系统第1 部分:头部多源γ射束立体[S]. 北京:中国标准出版社,2011. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. YY 0831.1-2011, stereotactic radiotherapy system with gamma beam. Part1:Multi-source stereotactic radiotherapy system with gamma beam for head lesion[S]. Beijing:Standards Press of China, 2011. [17] 国家质量监督检验检疫总局. GB/T 19046-2013 医用电子加速器验收试验和周期检验规程[S]. 北京:中国标准出版社,2013. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. GB/T 19046-2013, medical electron accelerators. Acceptance and periodic tests[S]. Beijing:Standards Press of China, 2013. [18] 国家质量监督检验检疫总局. GB 15213-2016 医用电子加速器性能和试验方法[S]. 北京:中国标准出版社,2016. General Administration of Quality Supervision, Inspection and Quarantine of The People's Republic of China. GB 15213-2016, medical electron accelerators. Functional performance characteristics and test methods[S]. Beijing:Standards Press of China, 2016. [19] Maria MA, John PB, John C, et al. Small field MV photon dosimetry, IPEM report 103[R]. Institute of Physics and Engineering in Medicine, 2010. [20] Hodapp N. The ICRU report 83:prescribing, recording and reporting photon-beam intensity-modulated radiation therapy (IMRT)[J]. Strahlenther Onkol, 2012, 188(1):97-99. DOI:10.1007/s00066-011-0015-x. [21] Wilke L, Andratschke N, Blanck O, et al. ICRU report 91 on prescribing, recording, and reporting of stereotactic treatments with small photon beams:statement from the DEGRO/DGMP working group stereotactic radiotherapy and radiosurgery[J]. Strahlenther Onkol, 2019, 195(3):193-198. DOI:10.1007/s00066-018-1416-x. [22] 杨鑫, 何振宇, 姜晓勃, 等. 基于放疗流程的信息整合平台系统研发与应用[J]. 中华放射肿瘤学杂志, 2017, 26(8):918-923. DOI:10.3760/cma.j.issn.1004-4221.2017.08.014. Yang X, He ZY, Jiang XB, et al. Development and application of MOSAIQ integration platform based on radiotherapy workflow[J]. Chin J Radiat Oncol, 2017, 26(8):918-923. DOI:10.3760/cma.j.issn.1004-4221.2017.08.014. [23] Zhao B, Jin JY, Wen N, et al. Prescription to 50%-75% isodose line may be optimum for linear accelerator based radiosurgery of cranial lesions[J]. J Radiosurg SBRT, 2014, 3(2):139-147. [24] Xu Y, Ma P, Xu Y, et al. Selection of prescription isodose line for brain metastases treated with volumetric modulated arc radiotherapy[J]. J Appl Clin Med Phys, 2019, 20(12):63-69. DOI:10.1002/acm2.12761. [25] Benedict SH, Yenice KM, Followill D, et al. Stereotactic body radiation therapy:the report of AAPM Task Group 101[J]. Med Phys, 2010, 37(8):4078-4101. DOI:10.1118/1.3438081. [26] Timmerman R, Heinzerling J, Abdulrahman R, et al. Stereotactic body radiation therapy for thoracic cancers:recommendationsfor patient selection, setup and therapy[J]. Front Radiat Ther Oncol, 2011, 43:395-411. DOI:10.1159/000322503. [27] Huq MS, Fraass BA, Dunscombe PB, et al. The report of Task Group 100 of the AAPM:application of risk analysis methods to radiation therapy quality management[J]. Med Phys, 2016, 43(7):4209. DOI:10.1118/1.4947547. [28] Manger RP, Paxton AB, Pawlicki T, et al. Failure mode and effects analysis and fault tree analysis of surface image guided cranial radiosurgery[J]. Med Phys, 2015, 42(5):2449-2461. DOI:10.1118/1.4918319. [29] Younge KC, Wang Y, Thompson J, et al. Practical implementation of failure mode and effects analysis for safety and efficiency in stereotactic radiosurgery[J]. Int J Radiat Oncol Biol Phys, 2015, 91(5):1003-1008. DOI:10.1016/j.ijrobp.2014.12.033.