YouRad Survey 1 - How Useful is IMRT ?
Section 3 - Centres that do deliver IMRT treatments

Number of questions in this section of the survey - 34

Number of participants in this section of the survey so far - 14

Total number of questions answered - 364

Table of results

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 4
Do you track tumour motion as an integrated IMRT technique? No 8
Do you track tumour motion as an integrated IMRT technique? Yes 6
Do you use IGRT in combination with IMRT? No 7
Do you use IGRT in combination with IMRT? Yes 7
Do you use online IMRT correction techniques? No 8
Do you use online IMRT correction techniques? Yes 6
Do you use special target delineation techniques? IV contrast 5
Do you use special target delineation techniques? No 3
Do you use special target delineation techniques? Other 2
Do you use special target delineation techniques? PET/MR fusion 4
Does improved critical organ sparing justify IMRT? Yes 13
Does your centre deliver IMRT treatments? Yes 14
Have you implemented IGRT and not IMRT? No 11
Have you implemented IGRT and not IMRT? Yes 3
Have you performed in house studies to determine IMRT margins? No 4
Have you performed in house studies to determine IMRT margins? Yes 10
Have you validated your immobilisation technique? No 2
Have you validated your immobilisation technique? Yes 12
How useful is IMRT? In certain circumstances 3
How useful is IMRT? Very 11
I work in the following sector Other 1
I work in the following sector Private 4
I work in the following sector Public 3
I work in the following sector UK 5
If 'Other' - How are your IMRT patients immobilised? as site appropriate 1
If 'Other' - How are your IMRT patients immobilised? C-QUAL breast board or thermoplastic shell 1
If 'Other' - How are your IMRT patients immobilised? mask 1
If 'Other' - How are your IMRT patients immobilised? mask - H&N, combifix - pelvic regions, wing board - thoraic regions 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? all the above 1
If 'Other' - which QA systems do you employ? Portal dosimetry 1
If 'Other' - which special target delineation techniques? all the above 1
If 'Other' - which special target delineation techniques? ct/mr fusion 1
If 'Other' - Which tumour sites do you treat? All 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? H+N, Prostate and Breast 1
If 'Other' - Which tumour sites do you treat? head and neck 1
If 'Other' - Which tumour sites do you treat? prostate 2
If 'Other' - Which tumour sites do you treat? prostate / gynae 1
If 'Other' - Which type of IMRT do you deliver? Step and shoot and Tomotherapy and VMAT 1
If 'Other' - Which type of IMRT do you deliver? Step and Shoot and VMAT 1
If No, do you have 'IGRT ready' Linacs? No 5
If No, do you have 'IGRT ready' Linacs? Yes 5
if Other - What manufacturer of IMRT delivery system to you have? All bar cyberknife 1
If Other, with which techniques? 4DCT planning for margin calc. 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? implanted marker, tomotherapy volumetric match and correct, 2D imaging technques 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 3
If Yes, with which techniques? Surface motion 1
If Yes, with which techniques? X-rays 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 1
Should higher education establishments for radiographers offer “understanding IMRT” courses No Opinion 1
Should higher education establishments for radiographers offer “understanding IMRT” courses Yes 11
What manufacturer of IMRT delivery system to you have? Elekta 3
What manufacturer of IMRT delivery system to you have? Other 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 6
What QA systems do you employ? IMRT phantoms 4
What QA systems do you employ? Other 2
What QA systems do you employ? QA validation software 1
Which tumour sites do you treat? Head and neck 10
Which tumour sites do you treat? Other 3
Which tumour sites do you treat? Prostate 1
Which type of IMRT do you deliver? Dynamic 5
Which type of IMRT do you deliver? Other 2
Which type of IMRT do you deliver? Rapid Arc 1
Which type of IMRT do you deliver? Step and shoot 6
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 13
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 6
Will the implementation of IMRT increase the chances of a “post code lottery” for UK cancer treatment? Yes 5
Will you select IMRT patients previously relapsed from surgery or radiotherapy? All 10
Will you select IMRT patients previously relapsed from surgery or radiotherapy? Some 4
Will your IMRT deliver the following? Both 4
Will your IMRT deliver the following? Radical treatment 10
Would you like to see more IMRT information sharing such as on websites like RadPro or at professional/manufacturer group meetings? Yes 13
You are a ... Physicist 2
You are a ... Radiographer 11



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