Intravenous contrast media in radiation therapy planning computed tomography scans – Current practice in Ireland
| العنوان: | Intravenous contrast media in radiation therapy planning computed tomography scans – Current practice in Ireland |
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| المؤلفون: | Maeve Kearney, Charles Gillham, Shane Minogue, Laura Mullaney |
| المصدر: | Technical Innovations & Patient Support in Radiation Oncology, Vol 12, Iss, Pp 3-15 (2019) Technical Innovations & Patient Support in Radiation Oncology |
| بيانات النشر: | Elsevier, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | lcsh:Medical physics. Medical radiology. Nuclear medicine, medicine.medical_specialty, medicine.medical_treatment, lcsh:R895-920, education, Planning target volume, Computed tomography, lcsh:RC254-282, 030218 nuclear medicine & medical imaging, Radiation therapy treatment planning scan, 03 medical and health sciences, 0302 clinical medicine, Computerised tomography, Medicine, Radiology, Nuclear Medicine and imaging, Medical physics, Radiation treatment planning, Care Planning, Intravenous contrast, medicine.diagnostic_test, Oncology (nursing), business.industry, Health Policy, Gold standard, Pre-treatment IGRT, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, humanities, Radiation therapy, Soft tissue contrast, Current practice, 030220 oncology & carcinogenesis, cardiovascular system, Target volume delineation, business, Radiation therapists’ practice |
| الوصف: | Highlights • Intravenous contrast (IVC) enhancement is used extensively in routine practice in Irish Radiation Therapy departments. • There are some discrepancies in IVC practice with international recommendations. • Training for cannulation and IVC administration procedures should provide RTTs with the skills to implement image enhancement techniques and maximise benefits of IVC where required. Introduction While Computerised Tomography (CT) remains the gold standard in radiation therapy (RT) planning, inferior soft tissue definition remains a challenge. Intravenous contrast (IVC) use during CT planning can enhance soft tissue contrast optimising Target Volume (TV) and Organ at Risk visualisation and delineation. Despite this known benefit, there are no guidelines for when and how to use IVC in RT planning scans in Ireland. Aim The study aims to examine the patterns of practice in relation to the use of IVC in RT planning scans in Ireland and to determine the level of compliance with international guidelines. Radiation Therapists (RTT) IVC training will also be investigated. Materials and methods An anonymised online survey was designed based on previously-reported literature. This was distributed to all RT departments in Ireland. The survey contained open, closed and Likert scale questions that investigated IVC practices in each department. Results 75% (n = 9/12) of Irish departments responded. All responding departments reported using IVC. RTTs cannulated patients in 67% (n = 6/9) of the departments and administration contrast in all departments. Variations from recommended guidelines were found in disease sites where IVC was routinely used and in the assessment of renal functioning prior to contrast administration. IVC training varied in duration and number of supervised procedures required to fulfill competencies. Conclusion IVC is used extensively in Irish RT departments. There are variations in IVC practice between departments and with international recommended guidelines. |
| اللغة: | English |
| تدمد: | 2405-6324 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ed163d1431173b4623455ba89219372Test http://www.sciencedirect.com/science/article/pii/S2405632419300216Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....4ed163d1431173b4623455ba89219372 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24056324 |
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