Automated Oncentra QA combined integrity checks with independent HDR dose verification
An automated cervical brachytherapy QA system detected preset planning errors and achieved 98.7% mean gamma agreement with Oncentra.
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QA
OSTEO produced reproducible plan review for osteoarthritis low-dose radiotherapy
A five-point framework standardized knee osteoarthritis LDRT plan assessment, with high agreement among four radiation oncologists.
Proton FLASH requires dedicated reassessment of shielding, activation and radiation safety
Five proton centres outline why conventional radiation protection workflows cannot simply be assumed adequate for ultra-high dose-rate FLASH research.
National audit-driven changes halved severe late GI toxicity after prostate radiotherapy
After a national audit triggered pathway redesign, severe late GI toxicity after prostate EBRT fell from 16% to 7.5%.
Locally fabricated phantoms matched commercial dosimetry for 3DCRT TPS verification
Low-cost acrylic and beeswax thorax phantoms produced dose measurements comparable with a commercial phantom and generally remained within IAEA tolerance.
DIBH workflow changes sharply reduced chest-wall motion during breast radiotherapy
Four quality-improvement measures reduced >3-mm chest-wall errors from 21.2% to 4.7%, but sternal marker placement increased skin reactions.
Deep learning could provide a second-check for prostate pelvic nodal contours
AI pelvic nodal contours achieved a Dice score of 0.79 on withheld prostate RT cases but retained localized boundary disagreements.
Consensus QA improved target delineation for perihilar cholangiocarcinoma SBRT
Target Dice improved from 0.57 to 0.74 after consensus QA, although OAR constraints still limited PTV coverage in most plans.
Upright pediatric radiotherapy roadmap prioritizes anesthesia safety and prospective validation
A multidisciplinary roadmap defines the safety, imaging and research requirements needed before upright radiotherapy can be adopted more broadly in children.
ESTRO and ILROG define modern technical standards for total skin electron therapy
ESTRO consensus recommendations establish standardized dose, delivery, shielding and quality-assurance principles for total skin electron therapy.
Statistical process control reduced organ doses in nasopharyngeal IMRT planning
SPC-guided planning reduced larynx and parotid doses without compromising target coverage in a 200-patient retrospective nasopharyngeal carcinoma series.
Environ SRS mask reduced attenuation and vertical setup variability versus Encompass
Environ showed less static-beam attenuation and lower vertical setup variability than Encompass while maintaining accurate HyperArc dose calculation.
Multicenter phantom testing detected and corrected adaptive proton therapy dose errors
A six-center end-to-end framework detected anatomy-induced proton dose deterioration and verified near-complete recovery after adaptive replanning.
Proton spot boosting improved prompt-gamma monitoring while largely preserving plan quality
Boosting selected proton spots reduced simulated prompt-gamma noise by up to 93.3% while maintaining acceptable target and organ-at-risk dosimetry.
Most salvage prostate radiotherapy plans met SPPORT and RADICALS-HD dose constraints
Most multicenter salvage prostate radiotherapy plans met SPPORT and RADICALS-HD organ constraints, with smaller bladder volumes linked to more violations.