International Journal of Radiation Oncology * Biology * Physics
Volume 73, Issue 1 , Pages 9-14 , 1 January 2009

American Society for Therapeutic Radiology and Oncology (ASTRO) and American College of Radiology (ACR) Practice Guidelines for Intensity-Modulated Radiation Therapy (IMRT)

  • Alan C. Hartford, M.D., Ph.D.

      Affiliations

    • Section of Radiation Oncology, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH
    • ,
  • Madeline G. Palisca, M.S.

      Affiliations

    • Mayo Clinic, Scottsdale, AZ
    • ,
  • Thomas J. Eichler, M.D.

      Affiliations

    • Radiation Oncology, Thomas Johns Cancer Hospital, CJW Medical Center, Richmond, VA
    • ,
  • David C. Beyer, M.D.

      Affiliations

    • Arizona Oncology Services, Phoenix, AZ
    • ,
  • Venkata Rao Devineni, M.D.

      Affiliations

    • SSM Cancer Care, DePaul Health Center, St. Louis, MO
    • ,
  • Geoffrey S. Ibbott, Ph.D.

      Affiliations

    • UT M. D. Anderson Cancer Center, Houston, TX
    • ,
  • Brian Kavanagh, M.D., M.P.H.

      Affiliations

    • Department of Radiation Oncology, University of Colorado Denver, Aurora, CO
    • ,
  • John S. Kent, M.S.

      Affiliations

    • Department of Radiation Oncology, Methodist Hospital, Indianapolis, IN
    • ,
  • Seth A. Rosenthal, M.D.

      Affiliations

    • Radiation Oncology Center, Radiological Associates of Sacramento, Sacramento, CA
    • ,
  • Chris J. Schultz, M.D.

      Affiliations

    • Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI
    • ,
  • Prabhakar Tripuraneni, M.D.

      Affiliations

    • Scripps Clinic and Scripps Green Oncology, La Jolla, CA
    • ,
  • Laurie E. Gaspar, M.D., M.B.A.

      Affiliations

    • Department of Radiation Oncology, University of Colorado Denver, Aurora, CO

Received 13 March 2008 ,Revised 25 April 2008 ,Accepted 27 April 2008.

References 

  1. Mell LK, Mehrotra AK, Mundt AJ. Intensity-modulated radiation therapy use in the U.S., 2004. Cancer. 2005;104:1296–1303
  2. Palta JR, Mackie TR. Intensity-modulated radiation therapy: the state of the art. Medical Physics Monograph No. 29. (2003 Summer School Proceedings). Published for the American Association of Physicists in Medicine by Medical Physics Publishing.
  3. Webb S. Intensity-modulated radiation therapy. London, UK: Institute of Physics Publishing; 2001;
  4. Galvin JM, Ezzell G, Eisbrauch A, et al. Implementing IMRT in clinical practice: A joint document of the American Society for Therapeutic Radiology and Oncology and the American Association of Physicists in Medicine. Int J Radiat Oncol Biol Phys. 2004;58:1616–1634
  5. Ezzell GA, Galvin JM, Low D, et al. Guidance document on delivery, treatment planning, and clinical implementation of IMRT: Report of the IMRT Subcommittee of the AAPM Radiation Therapy Committee. Med Phys. 2003;30:2089–2115
  6. American College of Radiology. Practice guideline for radiation oncology, ACR practice guidelines and technical standards. Reston, Virginia: Author; 2007;p. 871–877
  7. American College of Radiology. Technical standard for the performance of radiation oncology physics for external beam therapy, ACR practice guidelines and technical standards, 2007. p. 1105–1111.
  8. American College of Radiology . Practice guideline for continuing medical education, ACR practice guidelines and technical standards. Reston, Virginia: Author; 2007;p. 1–2
  9. Fraass B, Doppke K, Hunt M, et al. American Association of Physicists in Medicine Radiation Therapy Committee Task Group 53: Quality assurance for clinical radiotherapy treatment planning. Med Phys. 1998;25:1773–1829
  10. Williams PC. IMRT: delivery techniques and quality assurance. Br J Radiol. 2003;76:766–776
  11. Jones AO, Kleiman MT. Patient setup and verification for intensity-modulated radiation therapy (IMRT). Med Dosim. 2003;28:175–183
  12. American College of Radiology . Practice guideline for communication, ACR practice guidelines and technical standards. Reston, Virginia: Author; 2007;p. 879–884
  13. Structural shielding design and evaluation for megavoltage X-and gamma-ray radiotherapy facilities. Bethesda, MD: National Council on Radiation Protection and Measurements; NCRP Report 151; 2006;

 Reprint requests to: Department of Research, American Society for Therapeutic Radiology and Oncology (ASTRO), 8280 Willow Oaks Corporate Drive, Suite 500, Fairfax, VA 22031. Tel: (703) 502-1550; E-mail: research@astro.org

 The American Society for Therapeutic Radiology and Oncology (ASTRO) is the largest radiation oncology society in the world, with more than 9,000 members who specialize in treating patients with radiation therapies. As a leading organization in radiation oncology, biology, and physics, the Society is dedicated to the advancement of the practice of radiation oncology by promoting excellence in patient care, providing opportunities for educational and professional development, promoting research and disseminating research results, and healthcare environment. ASTRO will periodically define new practice guidelines and technical standards for the practice of radiation oncology to help advance the science and to improve the quality of service to patients throughout the United States. Existing practice guidelines and technical standards will be reviewed for revision or renewal, as appropriate. This practice guideline has undergone a thorough consensus process in which it has been subjected to extensive review by the relevant Committees within ASTRO. Final approval was granted by the ASTRO Board of Directors. Practice guidelines recognize that the safe and effective use of therapeutic radiation requires specific training, skills, and techniques, as described in this document. Reproduction or modification of the published practice guideline by those entities not providing these services is not authorized.

 This report has also been published as: American College of Radiology, Practice Guideline for Intensity-Modulated Radiation Therapy (IMRT), ACR Practice Guidelines and Technical Standards, 2007:929–934.

 Conflict of interest: none.

PII: S0360-3016(08)00779-7

doi: 10.1016/j.ijrobp.2008.04.049

International Journal of Radiation Oncology * Biology * Physics
Volume 73, Issue 1 , Pages 9-14 , 1 January 2009

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