Quality Corner

Importance of safety, quality, and standards in introduction of new technologies in radiation oncology practice

Radiation oncology is a rapidly advancing field, with new technologies constantly emerging that have the potential to greatly improve cancer treatment outcomes. Past performance can predict the future when looking at the evolution of radiation oncology over the last century.

The early days of radiation oncology were marked by using simple X-ray machines and radium sources, however, as technology evolved, so did the tools used in radiation oncology.

New techniques and technologies in cancer care and radiotherapy are exponentially advancing with the emergence of artificial intelligence, augmented reality in radiation therapy (AR) and adaptive techniques, MR guidance, flash radiation therapy and particle therapies, radiomics and field of nano technology and immunotherapy. The goal of all these innovations would be to maximise the cure with minimising the side effects of treatments and maintaining the best quality of life for patients. Hence, it should be of paramount importance that these changes be evidence-based and introduced safely and ethically in a methodical manner according to the best available required standards and guidelines.

With the introduction of new technologies into practice comes the need for high standards of safety and quality. Ensuring that new technologies are used safely and effectively requires a commitment to ongoing training and education, as well as the development of rigorous safety protocols and quality assurance programs.

Radiation therapy is a powerful tool for treating cancer, but it can also have serious consequences if not administered properly. Quality assurance programs must be put in place to ensure that treatments are delivered consistently and accurately, and that any issues that arise are identified and addressed promptly.

New technologies can introduce a number of risks in radiation oncology practice. These risks can include but are not limited to inaccurate dosing, equipment malfunction, treatment delays, increased complexity, financial burden, and ethical considerations and unacceptable toxicities with minimal to no benefit for patients. Therefore, it is important for departments to carefully consider the risks associated with new technologies and take steps to minimise those risks. This can include investing in quality assurance programs, providing ongoing training and education for staff, and adhering to established safety standards and guidelines.

To address these challenges, radiation oncology practice has developed a number of standards and guidelines aimed at ensuring the safe and effective use of new technologies. Radiation Oncology Practice Standards (ROPS) has been published and recently revised on behalf of the Radiation Oncology Alliance (ROA). Similarly, the International Atomic Energy Agency (IAEA) has developed a series of safety standards and guidelines for radiation oncology practice. These standards cover a wide range of topics, from radiation safety to quality assurance, and are designed to ensure that new technologies are used safely and effectively. In addition to these standards, there are a number of other professional organisations that provide guidance on the use of new technologies in radiation oncology practice. The American Society for Radiation Oncology (ASTRO) and the European Society of Radiation Oncology (ESTRO) have developed a number of guidelines on the use of advanced technologies in radiation oncology practice. These guidelines provide a framework for the safe and effective use of new technologies and are regularly updated to reflect the latest advances in the field.

In conclusion, strict safety protocols, quality assurance programs, and adherence to established standards and guidelines are crucial to ensuring that new technologies are used safely and effectively in practice. By doing so, we can continue to improve cancer treatment outcomes and provide patients with the best possible care.

Dr Reza Rahbari

Quality Improvement Committee Member