Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26074
Title: Report dose-to-medium in clinical trials where available; a consensus from the global Harmonisation group to maximize consistency.
Austin Authors: Kry, Stephen F;Lye, Jessica ;Clark, Catharine H;Andratschke, Nicolaus;Dimitriadis, Alexis;Followill, David;Howell, Rebecca;Hussein, Mohammad;Ishikawa, Masayori;Kito, Satoshi;Kron, Tomas;Lee, Jonny;Michalski, Jeff;Filippo Monti, Angelo;Reynaert, Nick;Taylor, Paige;Venables, Karen;Xiao, Ying;Lehmann, Joerg
Affiliation: Imaging and Radiation Oncology Core, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
European Organisation for Research and Treatment of Cancer (EORTC), Department of Medical Physics, ASST GOM Niguarda Hospital, Milan, Italy
Australian Clinical Dosimetry Service, Australian Radiation Protection and Nuclear Safety Agency, Melbourne, Australia
Olivia Newton-John Cancer Wellness and Research Centre
Trans Tasman Radiation Oncology Group (TROG), Newcastle, NSW, Australia
Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
Radiation Oncology Department, Calvary Mater Newcastle, Newcastle, NSW, Australia
School of Mathematical and Physical Sciences, University of Newcastle, Newcastle, NSW, Australia
Institute of Medical Physics, University of Sydney, Sydney, NSW, Australia
NIHR Radiotherapy Trials Quality Assurance Group, University College London Hospital, University College London, National Physical Laboratory United Kingdom
European Organisation for Research and Treatment of Cancer Radiotherapy Quality Assurance Group, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
Dosimetry and Medical Radiation Physics Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria
Imaging and Radiation Oncology Core, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
Radiation Dosimetry Services, The University of Texas MD Anderson Cancer Center, Houston TX, United States
National Physical Laboratory United Kingdom
Japan Clinical Oncology Group, Faculty of Health Sciences, Hokkaido University, Japan
Japan Clinical Oncology Group, Department of Radiation Oncology, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital
NIHR Radiotherapy Trials Quality Assurance Group, Mount Vernon Cancer Centre, Northwood, United Kingdom
Imaging and Radiation Oncology Core, Washington University School of Medicine, St. Louis, MO, United States
European Organisation for Research and Treatment of Cancer, Medical Physics Department, Jules Bordet Institute, Université Libre de Bruxelles, Brussels, Belgium
Imaging and Radiation Oncology Core, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
NIHR Radiotherapy Trials Quality Assurance Group, Mount Vernon Cancer Centre, Northwood, United Kingdom
Imaging and Radiation Oncology Core, University of Pennsylvania, Philadelphia, PA, United States
Issue Date: Jun-2021
Date: 2021-03-16
Publication information: Radiotherapy and Oncology 2021; 159: 106-111
Abstract: To promote consistency in clinical trials by recommending a uniform framework as it relates to radiation transport and dose calculation in water versus in medium. The Global Quality Assurance of Radiation Therapy Clinical Trials Harmonisation Group (GHG; www.rtqaharmonization.org) compared the differences between dose to water in water (Dw,w), dose to water in medium (Dw,m), and dose to medium in medium (Dm,m). This was done based on a review of historical frameworks, existing literature and standards, clinical issues in the context of clinical trials, and the trajectory of radiation dose calculations. Based on these factors, recommendations were developed. No framework was found to be ideal or perfect given the history, complexity, and current status of radiation therapy. Nevertheless, based on the evidence available, the GHG established a recommendation preferring dose to medium in medium (Dm,m). Dose to medium in medium (Dm,m) is the preferred dose calculation and reporting framework. If an institution's planning system can only calculate dose to water in water (Dw,w), this is acceptable.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26074
DOI: 10.1016/j.radonc.2021.03.006
ORCID: 
Journal: Radiotherapy and Oncology
PubMed URL: 33741471
Type: Journal Article
Subjects: Clinical trial
Dose calculation
Dose medium
GHG
Radiation dosage
Appears in Collections:Journal articles

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