Umhes Mahantshetty MD , Lavanya Gurram MD , Raviteja Miriyala MD , KK. Sreelakshmi DRP , Ajeet Gandhi MD , Abhishek Basu MD , Harjot Kaur Bajwa MD , Bhavana Rai MD , V Srinivasan MD , Manoj Gupta MD , Rajesh Vashishta MD , Primoz Petric MD , Kari Tanderup PhD , Christian Kirisits Ph.D , Richard Potter MD
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引用次数: 0
Abstract
Purpose
Six teaching courses with focus on 3D IGABT for cervical cancer were conducted in India between 2017 & 2023, as collaborative effort of AROI and ESTRO. The purpose is to report impact of teaching courses, as observed from pre-course surveys and a recent master survey of all course participants.
Material and Methods
Pre-course surveys were conducted before each of the six courses, where in information related to pre-course BT practice of each participating team (physician and physicist) was collected. Recently, a detailed online master survey was conducted to understand impact of courses on BT approach and practice.
Results
A total of 456 participants (344 physicians and 112 physicists) who were responsible for treating cervical cancer patients attended the courses. As per pre-course surveys, BT planning was frequently done using X rays, CT and MRI by 25%, 75% and 10% of participants respectively. Hybrid IC+IS and 3D dose prescription (to high-risk CTV) were commonly used by 31% and 35% participants. Among 456 participants, 104 teams (one team per institute was allowed to respond) from 104 centres responded (83 physicians and 21 physicists). Of these, 101 (97.1%) continued to practice cervical cancer brachytherapy at the time of the survey. Percentage-wise implementation/utilisation of various critical processes/resources in cervical cancer brachytherapy workflow at the time of master survey are presented in Figure 1 (upper panel).Teaching course empowered participants in implementing/ improvising critical processes, like examination under anaesthesia (14%), clinical drawings (55%), ultrasound guidance (23%), IC+IS (32%), target volume delineation (46%) & volume-based prescription (39%); however, these processes could be sustained in 8%, 32%, 17%, 25%, 41% and 33% centres, respectively,. (FIgure1 lower panel). Frequent reasons cited for inability to implement and sustain these critical processes include heavy patient load, lack of availability of infrastructure (dedicated ultrasonography, compatible applicators, access to MRI etc), suboptimal human resources (Anesthesiologists, Radiologists, Radiation Oncologists) etc.Among the participants, 94% and 87% felt that their knowledge and practice of BT improved substantially after the course, respectively. About 94% of the participants expressed interest in collaborative prospective research related to IGABT for cervical cancer.
Conclusion
Survey results suggest that the teaching courses substantially improved clinical workflow, use of ultrasonography for guidance, utilisation of pre-BT MR/MR/CT-TRUS based BT, advanced BT applications (IC + IS), target volume delineation and volumetric dose prescription. Majority of centres appear to be interested in exploring prospective research related to IGABT.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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