Abstract

The American Association of Physicists in Medicine (AAPM) is a nonprofit professional society whose primary purposes are to advance the science, education, and professional practice of medical physics. The AAPM has more than 8,000 members and is the principal organization of medical physicists in the United States.The AAPM will periodically define new practice guidelines for medical physics practice to help advance the science of medical physics and to improve the quality of service to patients throughout the United States. Existing medical physics practice guidelines will be reviewed for revision or renewal, as appropriate, on their fifth anniversary or sooner.Each medical physics practice guideline represents a policy statement by the AAPM, has undergone a thorough consensus process in which it has been subjected to extensive review, and requires the approval of the Professional Council. The medical physics practice guidelines recognize that the safe and effective use of diagnostic and therapeutic radiology requires specific training, skills, and techniques, as described in each document. Reproduction or modification of the published practice guidelines and technical standards by those entities not providing these services is not authorized.The following terms are used in the AAPM practice guidelines: Must and Must Not: Used to indicate that adherence to the recommendation is considered necessary to conform to this practice guideline.Should and Should Not: Used to indicate a prudent practice to which exceptions may occasionally be made in appropriate circumstances. Approved by AAPM Professional Council 3‐31‐2017 and Executive Committee 4‐4‐2017.

Highlights

  • The purpose of this Medical Physics Practice Guideline (MPPG) is to describe the minimum level of medical physics support deemed prudent for the practice of linear-accelerator, photon-based stereotactic radiosurgery (SRS), stereotactic radiation therapy (SRT), and stereotactic body radiation therapy (SBRT) services

  • All other team members work under the supervision of these professionals — clinical procedures supervised by the radiation oncologist and technical procedures supervised by the Qualified Medical Physicist (QMP). 1

  • Commissioning report The scope of commissioning work and key results should be summarized in a written commissioning report

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Summary

| INTRODUCTION

The purpose of this Medical Physics Practice Guideline (MPPG) is to describe the minimum level of medical physics support deemed prudent for the practice of linear-accelerator, photon-based (linac) stereotactic radiosurgery (SRS), stereotactic (cranial) radiation therapy (SRT), and stereotactic body radiation therapy (SBRT) services. | 11 practice setting, this Guideline has been developed to provide appropriate minimum standards for such services This MPPG’s scope includes medical physics support for the entire treatment process including acceptance testing, commissioning, technical process development, treatment planning and delivery, and quality assurance related to linac-based SRS, SRT, and SBRT, hereafter referred to as SRS-SBRT. For ring-mounted helical tomotherapy linac delivery systems, this document applies to SBRT only.a This MPPG is not intended to address SRS-SBRT procedures based on gamma ray and particle beam (proton or heavier) sources as well as linac-magnetic resonance imaging (MRI) combination machines This MPPG describes the minimum level of medical physics support the American Association of Physicists in Medicine (AAPM) and the Radiosurgery Society (RSS) deem prudent for the aforementioned scope. Under General Supervision, the training of the personnel who performs the procedure and the maintenance of personnel competence are the continuing responsibility of the professional

Personal Supervision
| CONCLUSIONS
Findings
CONFLICT OF INTEREST
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