IMRT planning quality under a single full-time radiation oncologist supported by structured remote peer review and planning assistance versus the two-oncologist standard: the REMOTE-IMRT prospective, pair-matched, multi-institutional trial.

Masahide Saito¹, Keiichi Jingu², Naoki Tohyama³, Hikaru Nemoto⁴, Takayuki Kanai⁵, Masahiko Kurooka⁶, Seiichi Ota⁷, Rei Umezawa², Yoshiyuki Katsuta², Kazuya Takeda^2,8, Masaki Matsuda⁴, Tetsuro Tamamoto⁹, Ryoji Shinohara¹⁰, Akihisa Wakita¹¹, Hiroshi Onishi⁴

¹Department of Therapeutic Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan. masahides@yamanashi.ac.jp.

²Department of Radiation Oncology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.

³Department of Radiological Sciences, Komazawa University, 1-23-1 Komazawa, Setagaya-ku, Tokyo, 154-8525, Japan.

⁴Department of Therapeutic Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.

⁵Department of Radiation Oncology, Tokyo Women's Medical University, 8-1, Kawada-Cho, Shinjuku-Ku, Tokyo, 162-8666, Japan.

⁶Department of Radiation Therapy, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

⁷Division of Radiological Technology, Department of Medical Technology, University Hospital, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.

⁸Department of Radiation Oncology, South Miyagi Medical Center, 38-1 Nishi, Ogawara, Shibata, Miyagi, 989-1253, Japan.

⁹Department of Medical Informatics, Nara Medical University Hospital, 840 Shijyo-cho, Kashihara, Nara, 634-8521, Japan.

¹⁰Center for Birth Cohort Studies, University of Yamanashi, 1110 Shimokato, Yamanashi, 409-3898, Chuo, Japan.

¹¹Division of Medical Physics, EuroMediTech Co., Ltd, 2-20-4 Higashi-Gotanda, Shinagawa, Tokyo, 141-0022, Japan.

PubMed DOI

Abstract

PURPOSE: To determine whether intensity-modulated radiation therapy (IMRT) plan quality under a proposed facility standard of one full-time radiation oncologist supported by structured remote or part-time peer review and mandatory planning assistance is comparable to Japan's current standard requiring two full-time radiation oncologists. MATERIALS AND METHODS: In this multicenter, pair-matched, p…

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