The Radiotherapy Board has published new guidance to support the continued application of image-guided radiotherapy (IGRT) and enable the future implementation of four-dimensional adaptive radiotherapy (ART).
On Target 2: Updated Guidance for Image-Guided Radiotherapy supersedes the 2008 report On Target: Ensuring Geometric Accuracy in Radiotherapy and a later report produced in 2012 by the National Radiotherapy Implementation Group, entitled IGRT: Guidance for Implementation and Use.
Image guidance (including ART) is an essential component of radiotherapy, ensuring treatment delivery uncertainties are minimised. However, there are remaining uncertainties that should be assessed to ensure the clinical target volume receives the intended dose.
On Target 2 recommends the best evidence-based practices for IGRT and. provides guidelines on how individual centres can implement and/or optimise image-guidance processes locally.
The report states: ‘Only by including these principles in routine clinical practice can we ensure that patients receive high-quality and effective radiotherapy treatments.’
On Target 2 was produced by a multi-professional team led by Dr Kevin Franks, Dr Helen McNair and Professor Marcel van Herk. Dr McNair, lead research radiographer at the Royal Marsden NHS Foundation Trust, who co-chaired the group, said: ‘It is great to see On Target 2 in print. It has been a very collaborative piece of work and many people have contributed. Thank you to all who have done so. We very much hope the document is helpful to radiotherapy departments now and in the future’.
To download On Target 2, visit the SCoR's policy documents and guidance section.