Recognising the challenges of implementing multi-centre adaptive plan of the day radiotherapy

Amanda Webster*, Helen A McNair, Vibeke N Hansen, Rebecca Lewis, Emma Patel, Elizabeth Miles, Emma Hall, Shaista Hafeez, Robert Huddart, RAIDER, HYBRID Trial Management Groups, Vibeke Nordmark Hansen (Member of study group)

*Corresponding author for this work

Abstract

Two multicentre adaptive radiotherapy trials utilising Plan of the Day (PoD) with a library of plans were introduced in 35 centres. The common issues that arose from all centres when introducing PoD were collated retrospectively, through reviewing the data pertaining to the pre-trial and on-trial quality assurance programme. It was found that 1,295 issues arose when introducing PoD in outlining, planning, treatment delivery i.e., PoD selection, and in the overall process of delivering PoD. There was no difference in the number of issues that arose from pre-trial to on-trial. Thus, it is recommended that the implementation of PoD is supported by guidance, reviews, and continuous monitoring.

Original languageEnglish
JournalTechnical innovations & patient support in radiation oncology
Volume21
Pages (from-to)31-35
Number of pages5
ISSN2405-6324
DOIs
Publication statusPublished - Mar 2022

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