| Question |
Answer |
Answer count |
| Are your IMRT patients immobilised? |
Head frame |
3 |
| Are your IMRT patients immobilised? |
Mask |
7 |
| Are your IMRT patients immobilised? |
Other |
1 |
| Do you track tumour motion as an integrated IMRT technique? |
No |
7 |
| Do you track tumour motion as an integrated IMRT technique? |
Yes |
4 |
| Do you use IGRT in combination with IMRT? |
No |
6 |
| Do you use IGRT in combination with IMRT? |
Yes |
5 |
| Do you use online IMRT correction techniques? |
No |
6 |
| Do you use online IMRT correction techniques? |
Yes |
5 |
| Do you use special target delineation techniques? |
IV contrast |
4 |
| Do you use special target delineation techniques? |
No |
3 |
| Do you use special target delineation techniques? |
Other |
1 |
| Do you use special target delineation techniques? |
PET/MR fusion |
3 |
| Does improved critical organ sparing justify IMRT? |
No Opinion |
1 |
| Does improved critical organ sparing justify IMRT? |
Yes |
18 |
| Does your centre deliver IMRT treatments? |
No |
9 |
| Does your centre deliver IMRT treatments? |
No, but we plan to within the next 6 months |
2 |
| Does your centre deliver IMRT treatments? |
Yes |
11 |
| Have you already implemented IGRT? |
No |
2 |
| Have you implemented IGRT and not IMRT? |
No |
9 |
| Have you implemented IGRT and not IMRT? |
Yes |
2 |
| Have you performed in house studies to determine IMRT margins? |
No |
3 |
| Have you performed in house studies to determine IMRT margins? |
Yes |
8 |
| Have you validated your immobilisation technique? |
No |
1 |
| Have you validated your immobilisation technique? |
Yes |
10 |
| How useful is IMRT? |
In certain circumstances |
2 |
| How useful is IMRT? |
Very |
9 |
| How will your team be trained to deliver IMRT? |
ESTRO courses |
1 |
| How will your team be trained to deliver IMRT? |
Manufacturer training courses |
1 |
| I work in the following sector |
Europe |
2 |
| I work in the following sector |
Other |
2 |
| I work in the following sector |
Private |
3 |
| I work in the following sector |
Public |
3 |
| I work in the following sector |
UK |
8 |
| I work in the following sector |
US |
1 |
| If 'Other' - How are your IMRT patients immobilised? |
mask |
1 |
| If 'Other' - How are your IMRT patients immobilised? |
Mask - Head & NEck and Vaccum bag - Prostate & Breast |
1 |
| If 'Other' - How are your IMRT patients immobilised? |
pelvic pts with stocks and knee supports |
1 |
| If 'Other' - How are your IMRT patients immobilised? |
prostates: head fix anklestocks |
1 |
| If 'Other' - which QA systems do you employ? |
2D arrays and portal dosimetry |
1 |
| If 'Other' - which QA systems do you employ? |
Portal dosimetry |
1 |
| If 'Other' - which special target delineation techniques? |
ct/mr fusion |
1 |
| If 'Other' - Which tumour sites do you treat? |
All (Head & neck, Prostate and Breast-Farward IMRT) |
1 |
| If 'Other' - Which tumour sites do you treat? |
head and neck |
1 |
| If 'Other' - Which tumour sites do you treat? |
prostate |
1 |
| If 'Other' - Which tumour sites do you treat? |
prostate / gynae |
1 |
| If No, do you have 'IGRT ready' Linacs? |
No |
4 |
| If No, do you have 'IGRT ready' Linacs? |
Yes |
4 |
| If No, do you have “IGRT ready” Linacs? |
No |
2 |
| If No, is this due to the risk of radiation-induced cancers? |
No |
1 |
| If Other, with which techniques? |
Gold seeds-Fiducial markers in prostate |
1 |
| If Other, with which techniques? |
use portal imaging |
1 |
| If Yes - which IMRT correction techniques? |
couch movement |
1 |
| If Yes - which IMRT correction techniques? |
portal imaging |
1 |
| If Yes - which IMRT correction techniques? |
Prostate - Wiht respect to gold seed position |
1 |
| If Yes, with which techniques? |
Other |
2 |
| If Yes, with which techniques? |
X-rays |
1 |
| Is the problem requisite planning, delivery or QA equipment? |
All |
1 |
| Is the problem requisite planning, delivery or QA equipment? |
Delivery |
1 |
| Is the problem requisite planning, delivery or QA equipment? |
QA |
1 |
| Please comment - How useful is IMRT? |
Achieves parotid sparing resulting in marked reduction of xerostomia.
As matched electron fields are not required it avoids over/under dosing at photon-electron junctions.
Gives a more homogenous dose distribution in nasopharyneal and sinonasal tunours |
1 |
| Please comment - How useful is IMRT? |
imrt is useful in treating all kind of patiensts |
1 |
| Please comment - How useful is IMRT? |
In head & neck tumors IMRT helped to reduce the OAR dose considerably, and Prostate dose also could increase considerably with out affecting the rectum dose. |
1 |
| Please comment - How useful is IMRT? |
the technique of choice unless not possible |
1 |
| Should higher education establishments for radiographers offer “understanding IMRT” courses |
No Opinion |
2 |
| Should higher education establishments for radiographers offer “understanding IMRT” courses |
Yes |
17 |
| What is the main barrier to using IMRT at your centre? |
IMRT is too time consuming (specify on next page) |
1 |
| What is the main barrier to using IMRT at your centre? |
Is it because you dont have the requisite planning, delivery or QA equipment? (specify on next page) |
3 |
| What is the main barrier to using IMRT at your centre? |
Is it due to lack of staff training opportunities? |
1 |
| What is the main barrier to using IMRT at your centre? |
it due to workforce issues or staffing-constraints? |
2 |
| What manufacturer of IMRT delivery system to you have? |
Elekta |
1 |
| What manufacturer of IMRT delivery system to you have? |
Siemens |
2 |
| What manufacturer of IMRT delivery system to you have? |
Varian |
8 |
| What QA systems do you employ? |
2D arrays |
1 |
| What QA systems do you employ? |
IMRT independent dose check software |
5 |
| What QA systems do you employ? |
IMRT phantoms |
3 |
| What QA systems do you employ? |
Other |
1 |
| What QA systems do you employ? |
QA validation software |
1 |
| Which individual components, if any, of IMRT are too time consuming? |
Planning |
1 |
| Which tumour sites do you plan to treat? |
Head and neck |
1 |
| Which tumour sites do you plan to treat? |
Prostate |
1 |
| Which tumour sites do you treat? |
Head and neck |
9 |
| Which tumour sites do you treat? |
Other |
1 |
| Which tumour sites do you treat? |
Prostate |
1 |
| Which type of IMRT do you deliver? |
Dynamic |
5 |
| Which type of IMRT do you deliver? |
Rapid Arc |
1 |
| Which type of IMRT do you deliver? |
Step and shoot |
5 |
| Which type of IMRT do you plan to deliver? |
Dynamic |
2 |
| Will IMRT be the primary course of treatment for a cure for your chosen patients |
No |
1 |
| Will IMRT be the primary course of treatment for a cure for your chosen patients |
Some |
1 |
| Will IMRT be the primary course of treatment for a cure for your chosen patients |
Yes |
11 |
| Will the implementation of IMRT increase the chances of a “post code lottery” for UK cancer treatment? |
No |
2 |
| Will the implementation of IMRT increase the chances of a “post code lottery” for UK cancer treatment? |
No Opinion |
7 |
| Will the implementation of IMRT increase the chances of a “post code lottery” for UK cancer treatment? |
Yes |
10 |
| Will you select IMRT patients previously relapsed from surgery or radiotherapy? |
All |
8 |
| Will you select IMRT patients previously relapsed from surgery or radiotherapy? |
Some |
5 |
| Will you use IGRT in combination with IMRT? |
No |
2 |
| Will your IMRT deliver the following? |
Both |
4 |
| Will your IMRT deliver the following? |
Radical treatment |
9 |
| Would you like to see more IMRT information sharing such as on websites like RadPro or at professional/manufacturer group meetings? |
No Opinion |
1 |
| Would you like to see more IMRT information sharing such as on websites like RadPro or at professional/manufacturer group meetings? |
Yes |
18 |
| You are a ... |
Doctor/Clinician |
1 |
| You are a ... |
Other |
1 |
| You are a ... |
Physicist |
3 |
| You are a ... |
Radiographer |
14 |