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Prospective approaches for risk analysis in modernradiotherapy: the Italian experience and the contribution of medicalphysicists

Published online by Cambridge University Press:  11 December 2013

L. Begnozzi
Affiliation:
UOC di Fisica Sanitaria, Ospedale S. Giovanni Calibita Fatebenefratelli, Isola Tiberina, Via di Ponte Quattro Capi 39, 00186 Roma, Italy
M.C. Cantone*
Affiliation:
Dipartimento di Fisica, Università di Milano, Via Celoria 16, 20133 Milano, Italy
B. Longobardi
Affiliation:
Servizio di Fisica Sanitaria, Ospedale S. Raffaele, Via Olgettina 60, 20132 Milano, Italy
I. Veronese
Affiliation:
Dipartimento di Fisica, Università di Milano, Via Celoria 16, 20133 Milano, Italy
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Abstract

In the last few years there has been significant development of radiation therapy (RT)equipment with advanced imaging and delivery techniques, as well as treatment planningsystems. From this perspective, proactive approaches for risk assessment were identifiedas a powerful tool in modern radiation oncology. A multidisciplinary working group (WG)has been established in the framework of the Italian association for medical physics(AIFM) to promote the use of prospective approaches in the radiotherapy scientificcommunity. This paper describes the main actions carried out by the WG in order to collectinformation about the engagement of Italian medical physicists in the risk managementprocess, in reporting possible incidents in RT and in the procedures of collecting andanalysing near misses. In particular, the main scope of the study was to evaluate theactual level of experience in use of proactive risk analysis tools in modern RT by medicalphysicists. Finally, the measures implemented by the WG in order to promote the use ofsuch approaches, and consequently to contribute to enhancing safety and radiationprotection culture in radiation oncology are described.

Type
Research Article
Copyright
© EDP Sciences, 2013

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