Patterns of practice of image guided particle therapy for extremity tumours: A site specific multi-institutional survey of European particle therapy network

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21340%2F25%3A00384854" target="_blank" >RIV/68407700:21340/25:00384854 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.1016/j.ejmp.2025.105094" target="_blank" >https://doi.org/10.1016/j.ejmp.2025.105094</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejmp.2025.105094" target="_blank" >10.1016/j.ejmp.2025.105094</a>

Result language

angličtina

Original language name

Patterns of practice of image guided particle therapy for extremity tumours: A site specific multi-institutional survey of European particle therapy network

Original language description

Purpose To investigate the current practice patterns in image-guided proton therapy (IGPT) for extremities. Methods A multi-institutional survey was distributed to European particle therapy centres to analyse the current practice of IGPT for tumours of the extremities. A Delphi consensus analysis was developed to define minimum requirements and optimal workflow for clinical practice within eight centres participating in the European Particle Therapy Network (EPTN). Results Eight centres participated in the survey. Patient immobilization methods varied, with supine position being optimal for selected tumor locations in most of the centres and prone position being optional in some centres. Multimodal imaging, in particular magnetic resonance imaging (MRI), was routinely used for across all centres, especially for delineation. Setup verification involved 2D imaging predominantly, with a few centres employing 3D imaging. Imaging for treatment evaluation varied, with differing intervals between treatment and first control computer tomography (CT) scans. Current limitations highlighted the need for improved software tools, streamlined workflow processes, and more comprehensive guidelines. Five centres participated in the Delphi consensus analysis. The full consensus was reached on the use of specific imaging modalities, adaptive techniques, and dedicated protocols for paediatric patients, with a need for standardization and guidelines. Conclusion There are differences in extremity IGPT clinical practice among European particle therapy centres. The optimal workflow identified by the expert consensus has not yet been reached, partly due to the small number of patients treated annually. To standardize clinical practice and improve IGPT quality for extremity tumours, consensus guidelines are strongly needed.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30300 - Health sciences

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS

ISSN

1120-1797

e-ISSN

1724-191X

Volume of the periodical

137

Issue of the periodical within the volume

Září

Country of publishing house

GB - UNITED KINGDOM

Number of pages

9

Pages from-to

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UT code for WoS article

001595363800004

EID of the result in the Scopus database

2-s2.0-105014124999