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Stereotactic ablative body radiation therapy (SABR) in NSW

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Abstract

A survey was conducted to establish the current utilisation of stereotactic ablative radiation therapy (SABR) services in NSW. The objective of the survey was to generate baseline data to inform requirements for a networked approach to the implementation of new radiation therapy techniques and technologies. All radiation therapy services in NSW were contacted by email with a request to complete a SABR service survey. Questions were designed to identify equipment used, treatment techniques in place, clinical sites treated with a SABR technique and plans to expand the current services offered. Each professional group was asked to identify areas of service delivery they would most like to improve. Sixteen responses were received representing 24 of 27 (89%) of NSW radiation therapy centres. The results indicate that most centres now treat with SABR, however the number of centres and the treatment sites are still increasing. VMAT treatments and 3D imaging are now commonplace. Liver was the most commonly reported treatment site where confidence in service delivery needed improvement. Data from the survey will be useful in formulating future collaborative and educational activities aimed at improving safety and efficacy in SABR service delivery to all patients in NSW and potentially the rest of the country.

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Acknowledgements

We would like to thank Maddison Shaw and Jessica Lye of the ACDS for their support and assistance.

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Correspondence to Elizabeth R. Claridge Mackonis.

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Appendix—Survey

Appendix—Survey

NSW SABR/SBRT Evaluation and Improvement Initiative – Initial Questionnaire

Background

 

This project looks to improve the efficient and safe implementation of new technologies and techniques in NSW. We will initially look at the use of SBRT/SABR. This particular technique was chosen as it is technologically challenging and of interest to many NSW radiation oncology centres. In addition, experience with this technique is varied throughout NSW, with many centres still in the implementation phase

The SBRT/SABR research project will be in several parts. We are collaborating with the ACDS for a dosimetric assessment of the technique. During a separate site visit, we also plan to investigate the procedural, training, simulation and planning aspects of this treatment technique

SECTION 1

 

Please complete the information below

If you have previously completed the TROG SABR questionnaire, this can be returned in place of Sect. 1

Date

 

Email Address

 

First Name

 

Last Name

 

Facility Name

 

Site (if applicable)

 

Contact phone number

 

Does your facility currently treat using SBRT/SABR?

 

Which, if any, sites do you currently treat with SBRT/SABR?

 

Which techniques are used, or do you plan to use, for SBRT/SABR treatments?

 

(delete responses which do not apply)

 

3D conformal

Coplanar

 

Non-Coplanar

IMRT: Static Gantry

Step and shoot

 

Dynamic leaves

VMAT: Dynamic Gantry Arc

Single

 

Multiple

 

Hybrid

 

Rapid

 

Smart

 

Tomotherapy

 

Cyberknife

 

Other (please specify)

Helical Tomotherapy

Yes

 

No

 

Comment

Cyberknife

Yes

 

No

 

Comment

How many patients were treated at your facility with SABR in the last year?

Lung

 

Liver

 

Spine

 

Prostate

 

Node

 

Cranial

 

Adrenal

 

Bone

 

Other (please specify tumour site and number of patients)

In what year did your facility start treatment these sites with SABR?

Lung

 

Liver

 

Spine

 

Prostate

 

Node

 

Cranial

 

Adrenal

 

Bone

 

Other (please specify tumour site and year)

Treatment Unit/s for SABR techniques

Manufacturer and model

 

Local Linac Name

Image guidance for SABR techniques

CBCT

(delete responses which do not apply)

4D CBCT

 

kV

 

MV

 

Other (please specify)

Please provide any further information which may be relevant to your participation

Open-Ended Response

SECTION 2

 

Please complete the information below

Drop down options will appear for some questions

Radiation Oncologist

Name

SABR/SBRT Site:

Spine

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the most confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the least confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

Please describe any areas of SABR/SBRT treatment at your centre that you would like to improve

 

Which, if any, additional sites would you like to be able to treat at your centre?

 

Radiation Therapist

Name

SABR/SBRT Site:

Spine

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the most confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the least confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

Please describe any areas of SABR/SBRT treatment at your centre that you would like to improve

 

Which, if any, additional sites would you like to be able to treat at your centre?

 

Medical Physicist

Name

SABR/SBRT Site:

Spine

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the most confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

SABR/SBRT Site with which you have the least confident:

Enter Site

Current level of confidence in SABR/SBRT technique overall

 

Current level of confidence in SABR/SBRT contouring

 

Current level of confidence in SABR/SBRT planning

 

Current level of confidence in SABR/SBRT treatment position accuracy

 

Current level of confidence in SABR/SBRT treatment dose accuracy

 

Please describe any areas of SABR/SBRT treatment at your centre that you would like to improve

 

Which, if any, additional sites would you like to be able to treat at your centre?

 

Timeline

 

If you are not using SBRT/SABR, when do you plan to begin?

 

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Claridge Mackonis, E.R., Hardcastle, N. & Haworth, A. Stereotactic ablative body radiation therapy (SABR) in NSW. Phys Eng Sci Med 43, 641–650 (2020). https://doi.org/10.1007/s13246-020-00866-3

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