Feasibility and Impact of a Radiation Therapy Technologist-Driven Workflow for Cone Beam Computed Tomography Guided Partial Breast Adaptive Radiation Therapy.

Journal: International journal of radiation oncology, biology, physics
Published Date: Apr 1, 2025

Abstract

PURPOSE: Cone beam computed tomography-based online adaptive radiation therapy (ART) allows significantly smaller planning target volume margins for patients treated with adaptive stereotactic partial breast irradiation. However, this approach places increased demands on the treatment team, particularly physicians. We hypothesize that with appropriate training, physicians' involvement at the treatment console can be reduced by delegating contouring and planning tasks to radiation therapy technologists (RTTs) with a physicist copilot without reducing treatment quality.

Authors

  • David Parsons
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: david.parsons@utsouthwestern.edu.
  • Sean Domal
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Eric Chambers
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Denise Salazar
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Justin Visak
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Mona Arbab
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Francis Holgado
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Xingzhe Li
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Chinasa Okoro
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Narine Wandrey
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Zohaib Iqbal
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Prasanna Alluri
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Bin Cai
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Hannah Keen
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Jennifer Cleaton
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Andrew Godley
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • David Sher
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Shahed Badiyan
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Asal Rahimi
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Mu-Han Lin
    Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.

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