Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T10:40:19.078Z Has data issue: false hasContentIssue false
  • English
  • Français

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 ,
M.C. Cantone ,
B. Longobardi  and
I. Veronese
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
*
a[email protected]
Get access

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.

Keywords

radioprotection in radiotherapyprospective approach for risk analysis
Type
Research Article
Information
Radioprotection , Volume 49 , Issue 1 , January 2014 , pp. 43 - 47
Copyright
© EDP Sciences, 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amalberti, R. (2009) The impact of new technologies on the risk accident, Controle 85, 65-66. Google Scholar
Ash, D. (2007) Lessons from Epinal, Clin. Oncol. 19, 614-615. Google ScholarPubMed
Begnozzi L., Cantone M.C., Ciocca M., Longobardi B., Molinelli S., Pellegrini C., Sartor G., Soriani A., Spiazzi L., Tremolada V., Veronese I., Vitolo V. (2012) Approccio prospettico alla sicurezza del paziente nella moderna RT, Report AIFM n° 8.
Bourguignon, M. (2009) Radiotherapy: meeting the challenge of radiation protection for patients, Controle 185, 7-11. Google Scholar
Broggi, S., Cantone, M.C., Chiara, A., Di Muzio, N., Longobardi, B., Mangili, P., Veronese, I. (2013) Application of failure mode and effects analysis (FMEA) to pretreatment phases in tomotherapy, J. Appl. Clin. Med. Phys. 14, 265-277. Google Scholar
Cantone, M.C., Ciocca, M., Dionisi, F., Fossati, P., Lorentini, S., Krengli, M., Molinelli, S., Orecchia, R., Schwarz, M., Veronese, I., Vitolo, V. (2013) Application of failure mode and effects analysis to treatment planning in scanned proton beam radiotherapy, Radiat. Oncol. 8, 127. Google Scholar
Ciocca, M., Cantone, M.C., Veronese, I., Cattani, F., Petroli, G., Molinelli, S., Vitolo, V., Orecchia, R. (2012) Application of failure mode and effect analysis to intraoperative radiation therapy using mobile electron linear accelerators, Int. J. Radiat. Oncol. Biol. Phys. 82, e305-e311. Google Scholar
Derreumaux, S., Etard, C., Huet, C., Trompier, F., Clairand, I., Bottollier-Depois, J.F., Aubert, B., Gourmelon, P. (2008) Lessons from recent accidents in radiation therapy in France, Radiat. Prot. Dosim. 131, 130-135. Google ScholarPubMed
Ford, E.C., Gaudette, R., Myers, L., Vanderver, B., Engineer, L., Zellars, R., Song, D.Y., Wong, J., DeWeese, T.L. (2009) Evaluation of safety in radiation oncology setting using failure mode and effects analysis, Int. J. Radiat. Oncol. Biol. Phys. 74, 852-858. Google ScholarPubMed
Hoeschen, C., Mattsson, S., Cantone, M.C., Mikuz, M., Lacasta, C., Ebel, G., Clinthorne, N., Giussani, A. (2010) Minimising activity and dose with enhanced image quality by radiopharmaceutical administrations, Radiat. Prot. Dosim. 139, 250-253. Google Scholar
Huq, M.S., Fraass, B.A., Dunscombe, P.B., Gibbons, J.P., Ibbott, G.S., Medin, P.M., Mundt, A., Mutic, S., Palta, J.R., Thomadsen, B.R., Williamson, J.F., Yorke, E.D. (2008) A method for evaluating quality assurance needs in radiation therapy, Int. J. Radiat. Oncol. Biol. Phys. 71, S170-S173. Google ScholarPubMed
ICRP Publication 112 (2009) Preventing Accidental Exposures from New External Beam Radiation Therapy Technologies, Ann. ICRP 39, Elsevier.
Korreman, S., Rasch, C., McNair, H., Verellen, D., Oelfke, U., Maingon, P., Mijnheer, B., Khoo, V. (2010) The European Society of Therapeutic Radiology and Oncology-European Institute of Radiotherapy (ESTRO-EIR) report on 3D CT-based in-room image guidance systems: A practical and technical review and guide, Radiother. Oncol. 94, 129-144. Google Scholar
Mancosu, P., Cozzi, L., Fogliata, A., Lattuada, P., Reggiori, G., Cantone, M.C., Navarria, P., Scorsetti, M. (2010) Collimator angle influence on dose distribution optimization for vertebral metastases using volumetric modulated arc therapy, Med. Phys. 37, 4133-4137. Google ScholarPubMed
Perks, J.R., Stanic, S., Stern, R.L., Henk, B., Nelson, M.S., Harse Mathai, M., Purdy, J., Valicenti, R.K., Siefkin, A.D., Chen, A.M. (2012) Failure Mode and Effect Analysis for Delivery of Lung Stereotactic Body Radiation Therapy, Int. J. Radiat. Oncol. Biol. Phys. 83, 1324-1329. Google ScholarPubMed
Reggiori, G., Mancosu, P., Tozzi, A., Cantone, M.C., Castiglioni, S., Lattuada, P., Lobefalo, F., Cozzi, L., Fogliata, A., Navarria, P., Scorsetti, M. (2011) Cone beam CT pre- and post-daily treatment for assessing geometrical and dosimetric intrafraction variability during radiotherapy of prostate cancer, J. Applied Clinical Med. Phys. 12, 141-152. Google ScholarPubMed
Sawant, A., Dieterich, S., Svatos, M., Keall, P. (2010) Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems, Med. Phys. 37, 6466-6479. Google Scholar
Veronese, I., Cantone, M.C., Chiodini, N., Coray, A., Fasoli, M., Lomax, A., Mones, E., Moretti, F., Vedda, A. (2010) Feasibility study for the use of cerium-doped silica fibres in proton therapy, Radiat. Meas. 45, 635-639. Google Scholar
Veronese, I., Cantone, M.C., Catalano, M., Chiodini, N., Fasoli, M., Mancosu, P., Mones, E., Moretti, F., Scorsetti, M., Vedda, A. (2013a) Study of the radioluminescence spectra of doped silica optical fibre dosimeters for stem effect removal, J. Phys. D 46, 015101. Google Scholar
Veronese, I., Cantone, M.C., Chiodini, N., Fasoli, M., Mones, E., Moretti, F., Vedda, A. (2013b) The influence of the stem effect in Eu-doped silica optical fibres, Radiat. Meas. 56, 316-319. Google Scholar
Veronese I., Cantone M.C., Chiodini N., De Mattia C., Fasoli M., Mones E., Vedda A. (2013c) Radioluminescence dosimetry by scintillating fiber optics: the open challenges, Proc. SPIE 8852 (Hard X-Ray, Gamma-Ray, and Neutron Detector Physics XV), 88521L.
Williams, M.V. (2007) Radiotherapy Near Misses, Incidents and Errors: Radiotherapy Incident at Glasgow, Clin. Oncol. 19, 1-3. Google ScholarPubMed
WHO (2008) Radiotherapy Risk Profile, Geneva: WHO/IER/ PSP/2008.12.