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RTOG RTQA

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  1. RTOG RTQA Denise Manfredi, BS RT(T) Assistant Director RTQA

  2. Where to start Section 5 of the protocol provides general information on phantom requirements Link To RPC website where specific detailed requirements are provided for each protocol

  3. Why we need to know all trials you want to participate in RTQA updates the CTSU RSS credentialing attributes Submit a new or updated Facility Questionnaire (FQ) Link located in Section 5 then on ATC website (select protocols, RTOG, Then trial #)

  4. Once received, our Data Assistant(Tammy McGlade) will contact the RA & physicist listed on the FQ stating what is needed or send a letter via email that your site can enroll Once Tammy has sent the letter she updates the CTMS (RSS) database

  5. IGRTImage Guided Radiation Therapy What is it? IGRT is NOT a treatment modality. IGRT are methods used to ensure patient positioning is maintained during treatment. There are several different methods of IGRT for example: CBCT, KV orthogs

  6. IGRTinformation • See section 5 of the protocol for specific details for the link to protocol specific requirements • Some trials require credentialing ONLY if you plan to treat with reduced margins (5mm or less PTV expansion) • Where as some trials require IGRT cred to accrue on the trial

  7. IGRT • Each method your site plans to use for that trials needs to be credentialed • It is disease site specific • It is specific to a RTOG site. Each Therapy department is required to be credentialed for the protocol. Even if you have multiple sites that have the same physics, TPS and equipment they each have to credential for IGRT. You cannot submit the same data set for different locations.

  8. IGRT Requirements Protocol page on the ATC website - IGRT submission requirements IGRT Spreadsheet DDSI form be sure to select IGRT CR and specific protocol #

  9. RTOG 1005 –no Phantom required. Benchmark submission on planning required Some trials require both a phantom and a benchmark case. See section 5 for details and links to the benchmark data sets Allow 10 business days for review Benchmarks

  10. Rapid Reviews( Pre-Treatment) • Specified in the protocol at the beginning of Section 6 • 3 business days are required to complete a rapid review. The clock starts when complete data is received at the ITC. • Feedback and or case approval is only communicated to the staff listed on the DDSI form (MD, Phy, Dos, RA)

  11. Current Trials open with Rapid Reviews CCOP trials • RTOG 0938 Prostate ( 1st 5 cases min) • RTOG 1203 GYN ( 1st 3D and 1st IMRT) • RTOG 0631 ( 1st SBRT case)

  12. Trials with Rapid reviews (continued) • RTOG 1005 Breast • RTOG 1014 Breast • RTOG 1201 Liver • RTOG 1021 Lung • RTOG 1106 Lung • RTOG 0813 Lung • RTOG 0848 Pancreas ( all cases)

  13. Questions??