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Image Guided Radiation Therapy: Unlocking the Future Through Knowledge Translation

      Essential for the expedient translation of technological and scientific advances into effective clinical practices, education needs to be moved from “nice afterthought” to ‘vital enabler of success’ if the oncology patient is to be assured benefit from the myriad advances surrounding our practice. In the 2012 article for Nature Reviews, “Image-guided radiotherapy: from current concept to future perspectives” (
      • Jaffray D.A.
      Image-guided radiotherapy: From current concept to future perspectives.
      ), Jaffray articulated the technological innovations surrounding image guided radiation therapy (IGRT) and how they will set the stage for dramatic changes care. Research and discovery in these areas are necessary to inform future practice, but discovery alone will not be sufficient to positively impact care. Delays in incorporating these innovations into care (
      • Davis D.
      • Evans M.
      • Jadad A.
      • et al.
      The case for knowledge translation: Shortening the journey from evidence to effect.
      ) or failures in implementation that undermine quality and result in poor outcomes (
      • Peters L.J.
      • O'Sullivan B.
      • Giralt J.
      • et al.
      Critical impact of radiotherapy protocol compliance and quality in the treatment of advanced head and neck cancer: Results from TROG 02.02.
      ,
      • Abrams R.A.
      • Winter K.A.
      • Regine W.F.
      • et al.
      Failure to adhere to protocol specified radiation therapy guidelines was associated with decreased survival in RTOG 9704–a phase III trial of adjuvant chemotherapy and chemoradiotherapy for patients with resected adenocarcinoma of the pancreas.
      ) both prevent the value of the discovery from reaching the patient.
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      References

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        J Clin Oncol. 2010; 28: 2996-3001
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        • et al.
        Failure to adhere to protocol specified radiation therapy guidelines was associated with decreased survival in RTOG 9704–a phase III trial of adjuvant chemotherapy and chemoradiotherapy for patients with resected adenocarcinoma of the pancreas.
        Int J Radiat Oncol Biol Phys. 2012; 82: 809-816
      1. Canadian Institutes of Health Research. Knowledge translation and commercialization. Available at: http://www.cihr-irsc.gc.ca/e/29529.html. Accessed June 22, 2016.

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