Abstract

Delivering precision radiation medicine is one of the strategic priorities at our institution. This is achieved by individualizing the radiation treatment plan based on the patient’s characteristic and/or adapting in order to respond to changes observed during the treatment course. Three Clinical Specialist Radiation Therapist (CSRT) were recruited to develop this process for clinical implementation. Competency on image interpretation, contouring, image registration and dosimetric image assessment were developed through weekly meeting with a multidisciplinary team. Based on the clinical expertise on the treatment technique and workflow, each of the 3 CSRTs was assigned to identify site-specific requirements by simulating the dose tracking process for the head and neck, lung and prostate treatment sites. The CSRTs collaborated with radiation Physicists in validating the tools for the dose tracking process and developed site specific workflows. With the wealth of clinical experience, CSRTs were able to identify risk and limiting factors, and provide valuable feedback to help improve the efficiency of the automating the dose tracking process. In addition, various research activities were conducted to evaluate the feasibility and efficacy of adaptive radiotherapy. The CSRTs will continue on developing the dose tracking process for other disease sites and to establish criteria or threshold for adaptive radiotherapy. Training will be provided to equip other radiation therapists to be competent in this process.

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