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Risk and Quality in Brachytherapy From a Technical Perspective
Department of Radiation Oncology, St George Cancer Care Centre, Kogarah, New South Wales, Australia; School of Physics, University of Sydney, Camperdown, New South Wales, Australia; Centre for Medical Radiation Physics, University of Wollongong, Wollongong, New South Wales, Australia.
Department of Radiation Oncology, Alpert Medical School of Brown University, Providence, RI, USA.
Department of Radiation Oncology, St George Cancer Care Centre, Kogarah, New South Wales, Australia.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Medical Radiation Physics and Nuclear Medicine, The Karolinska University Hospital, Stockholm, Sweden; Department of Oncology Pathology, The Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0002-4549-8303
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2023 (English)In: Clinical Oncology, ISSN 0936-6555, E-ISSN 1433-2981, Vol. 35, no 8, p. 541-547Article in journal (Refereed) Published
Abstract [en]

Aims: To provide an overview of the history of incidents in brachytherapy and to describe the pillars in place to ensure that medical physicists deliver high quality brachytherapy. Materials and methods: A review of the literature was carried out to identify reported incidents in brachytherapy, together with an evaluation of the structures and processes in place to ensure that medical physicists deliver high-quality brachytherapy. In particular, the role of education and training, the use of process and technical quality assurance and the role of international guidelines are discussed. Results: There are many human factors in brachytherapy procedures that introduce additional risks into the process. Most of the reported incidents in the literature are related to human factors. Brachytherapy-related education and training initiatives are in place at the societal and departmental level for medical physicists. Additionally, medical physicists have developed process and technical quality assurance procedures, together with international guidelines and protocols. Education and training initiatives, together with quality assurance procedures and international guidelines may reduce the risk of human factors in brachytherapy. Conclusion: Through application of the three pillars (education and training; process control and technical quality assurance; international guidelines), medical physicists will continue to minimise risk and deliver high-quality brachytherapy treatments. & COPY; 2023 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE LONDON , 2023. Vol. 35, no 8, p. 541-547
Keywords [en]
Brachytherapy; education; guidelines; incidents; quality; risk
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:liu:diva-196744DOI: 10.1016/j.clon.2023.01.001ISI: 001034447100001PubMedID: 36682968OAI: oai:DiVA.org:liu-196744DiVA, id: diva2:1790249
Available from: 2023-08-22 Created: 2023-08-22 Last updated: 2024-05-02

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