PMID- 25564753
OWN - NLM
STAT- MEDLINE
DCOM- 20150921
LR  - 20240210
IS  - 1748-880X (Electronic)
IS  - 0007-1285 (Linking)
VI  - 88
IP  - 1048
DP  - 2015 Apr
TI  - Radiographer-led plan selection for bladder cancer radiotherapy: initiating a 
      training programme and maintaining competency.
PG  - 20140690
LID - 10.1259/bjr.20140690 [doi]
AB  - OBJECTIVE: The implementation of plan of the day selection for patients receiving 
      radiotherapy (RT) for bladder cancer requires efficient and confident 
      decision-making. This article describes the development of a training programme 
      and maintenance of competency. METHODS: Cone beam CT (CBCT) images acquired on 
      patients receiving RT for bladder cancer were assessed to establish baseline 
      competency and training needs. A training programme was implemented, and 
      observers were asked to select planning target volumes (PTVs) on two groups of 20 
      patients' images. After clinical implementation, the PTVs chosen were reviewed 
      offline, and an audit performed after 3 years. RESULTS: A mean of 73% (range, 
      53-93%) concordance rate was achieved prior to training. Subsequent to training, 
      the mean score decreased to 66% (Round 1), then increased to 76% (Round 2). Six 
      radiographers and two clinicians successfully completed the training programme. 
      An independent observer reviewed the images offline after clinical 
      implementation, and a 91% (126/139) concordance rate was achieved. During the 
      audit, 125 CBCT images from 13 patients were reviewed by a single observer and 
      concordance was 92%. CONCLUSION: Radiographer-led selection of plan of the day 
      was implemented successfully with the use of a training programme and continual 
      assessment. Quality has been maintained over a period of 3 years. ADVANCES IN 
      KNOWLEDGE: The training programme was successful in achieving and maintaining 
      competency for a plan of the day technique.
FAU - McNair, H A
AU  - McNair HA
AD  - 1 Department of Radiotherapy, Royal Marsden NHS Foundation Trust and Institute of 
      Cancer Research, London, UK.
FAU - Hafeez, S
AU  - Hafeez S
FAU - Taylor, H
AU  - Taylor H
FAU - Lalondrelle, S
AU  - Lalondrelle S
FAU - McDonald, F
AU  - McDonald F
FAU - Hansen, V N
AU  - Hansen VN
FAU - Huddart, R
AU  - Huddart R
LA  - eng
GR  - 10588/CRUK_/Cancer Research UK/United Kingdom
GR  - 19727/CRUK_/Cancer Research UK/United Kingdom
GR  - C46/A3970/CRUK_/Cancer Research UK/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150107
PL  - England
TA  - Br J Radiol
JT  - The British journal of radiology
JID - 0373125
SB  - IM
MH  - *Clinical Competence
MH  - *Cone-Beam Computed Tomography
MH  - Decision Making
MH  - Dose Fractionation, Radiation
MH  - Education, Medical, Graduate/*organization & administration
MH  - Humans
MH  - Quality Assurance, Health Care
MH  - Radiology/*education
MH  - Radiotherapy Planning, Computer-Assisted/*methods
MH  - Urinary Bladder Neoplasms/*diagnostic imaging/*radiotherapy
EDAT- 2015/01/08 06:00
MHDA- 2015/09/22 06:00
CRDT- 2015/01/08 06:00
PHST- 2015/01/08 06:00 [entrez]
PHST- 2015/01/08 06:00 [pubmed]
PHST- 2015/09/22 06:00 [medline]
AID - 10.1259/bjr.20140690 [doi]
PST - ppublish
SO  - Br J Radiol. 2015 Apr;88(1048):20140690. doi: 10.1259/bjr.20140690. Epub 2015 Jan 
      7.