TY - JOUR
T1 - Implementation of Photon Treatment Back-up Workflow at a High-Volume Proton Center
T2 - Safety, Quality, and Patient Considerations
AU - Laughlin, Brady S.
AU - Anderson, Justin D.
AU - Gagneur, Justin D.
AU - Chungbin, Suzanne J.
AU - Bues, Martin
AU - Hobbis, Dean
AU - Fatyga, Mirek
AU - Korte, Shawn M.
AU - Carroll, Sarah E.
AU - Vora, Sujay
AU - Sio, Terence T.
AU - Wong, William W.
AU - Keole, Sameer R.
AU - Rong, Yi
N1 - Funding Information:
Sources of support: This work had no specific funding. Disclosure: Dr Sio reports Advisory Board member and speaker for Novocure, Inc and Advisory Board member for Galera Therapeutics. Dr Gagneur reported honorarium from National Cancer Registrars Association and US Patent 2022179723 A1. Dr Rong reported funding from National Cancer Institute R44CA254844, honorarium from being a visiting professor for University of Washington, advisory board for Astrazeneca, and Deputy Editor for Medical Physics. The above disclosures are not associated with the content or disease site as presented in this article. All other authors have no relevant financial interests to be declared. Research data are stored in an institutional repository and will be shared upon request to the corresponding author.
Funding Information:
Disclosure: Dr Sio reports Advisory Board member and speaker for Novocure, Inc and Advisory Board member for Galera Therapeutics. Dr Gagneur reported honorarium from National Cancer Registrars Association and US Patent 2022179723 A1. Dr Rong reported funding from National Cancer Institute R44CA254844, honorarium from being a visiting professor for University of Washington, advisory board for Astrazeneca, and Deputy Editor for Medical Physics. The above disclosures are not associated with the content or disease site as presented in this article. All other authors have no relevant financial interests to be declared. Research data are stored in an institutional repository and will be shared upon request to the corresponding author.
Publisher Copyright:
© 2022 American Society for Radiation Oncology
PY - 2022/9/1
Y1 - 2022/9/1
N2 - Purpose: A successful proton beam therapy (PBT) center relies heavily on the proper function and maintenance of a proton beam therapy machine. However, when a PBT machine is non-operational, a proton facility is hindered with delays that can potentially lead to inferior treatment outcome due to treatment interruption. This article reports a viable solution for a photon back-up plan in a proton down event. Methods and Materials: The implementation of a workflow for which proton plans are converted to photon plans so that patients can be treated using photons has been a successful strategy to reduce delays and mitigate its effect on patient care. This workflow was established through collaboration of physicians, physicists, dosimetrists, therapists, nurses, and schedulers. Results and conclusions: A tiered system established by disease site, number of fractions, and individualized circumstances is used to prioritize patients. Proton-photon backup planning strategy and physics check details were described. This article provides an overview of workflow of conversion of PBT to photon when the PBT machine is down. Specific needs of patients undergoing proton beam therapy are addressed.
AB - Purpose: A successful proton beam therapy (PBT) center relies heavily on the proper function and maintenance of a proton beam therapy machine. However, when a PBT machine is non-operational, a proton facility is hindered with delays that can potentially lead to inferior treatment outcome due to treatment interruption. This article reports a viable solution for a photon back-up plan in a proton down event. Methods and Materials: The implementation of a workflow for which proton plans are converted to photon plans so that patients can be treated using photons has been a successful strategy to reduce delays and mitigate its effect on patient care. This workflow was established through collaboration of physicians, physicists, dosimetrists, therapists, nurses, and schedulers. Results and conclusions: A tiered system established by disease site, number of fractions, and individualized circumstances is used to prioritize patients. Proton-photon backup planning strategy and physics check details were described. This article provides an overview of workflow of conversion of PBT to photon when the PBT machine is down. Specific needs of patients undergoing proton beam therapy are addressed.
UR - http://www.scopus.com/inward/record.url?scp=85128189690&partnerID=8YFLogxK
U2 - 10.1016/j.prro.2022.01.016
DO - 10.1016/j.prro.2022.01.016
M3 - Article
C2 - 35272078
AN - SCOPUS:85128189690
SN - 1879-8500
VL - 12
SP - e453-e459
JO - Practical Radiation Oncology
JF - Practical Radiation Oncology
IS - 5
ER -