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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We would like to thank Maddison Shaw and Jessica Lye of the ACDS for their support and assistance.
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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 | |
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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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DOI: https://doi.org/10.1007/s13246-020-00866-3