Abstract
Introduction Although radiation has been used worldwide for many decades for treatment in oncology, not only in the most classic way (cobalt-60 and squared fields) but into more novel techniques, many countries around the globe are just receiving for the very first time a Linac, and in some particular cases, the ultimate technology after being working with a cobalt machine. This situations are presenting complications not only for the operator, or the medical physicist in charge but to the regulator authorities too. Is QC turns more complicated? Is my current norm enough? This quality parameters are enough for a special technique? What do I have to check in an audit? In most of this cases, even with the international recommendations about how to do this step forward, all of this “to do” list are focused mainly in the operations leaving aside an important part for the patient safety: regulation. Purpose Suggest not only certain changes but some additions too in order to obtain a feasible quality control, based mainly on international recommendations and the clinical experience. Method Careful analysis of the main mismatches of the regulations with the new technology and treatment techniques. Result and conclusion An alternative to the current machine audit procedure according to the available treatment machines and techniques at the audited installation involving all steps in the radiation treatment procedure.
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