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Mandatory Recommended Optional

Fluoroscopy at simulation for evaluation of tumor motion

0

0

6

Abdominal compression system

0

0

5

Active breathing coordinator system (e.g. ABC system)

0

2

5

Respiration correlated 4D-PET-CT

0

0

8

Implantable fiducial marker system

0

1

6

Implantable transponders e.g. Calypso System

0

0

7

Audio and / or visual breathing motion monitoring system

for breathing feedback

0

2

6

Surface Scanner

0

1

5

External breathing motion monitoring system in the

treatment room (e.g. RPM system)

0

3

5

Linac with gated beam delivery mode

0

2

6

Flattening filter free (FFF) delivery mode

0

2

6

Very high resolution MLC < 5mm

0

2

6

Robotic 6 degrees of freedom (DOF) treatment couch

1

2

5

Additional technologies

Most additional technologies optional

07.09.17

ESTRO SBRT COURSE 2017

7

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Staffing and Credentialing

Mandatory

Written departmental protocol

covering all

mandatory aspects of SBRT practice

8

Site-specific SBRT implementation &

application based on

a multi-disciplinary

project team

involving Clinicians, Physicists &

RTTs

8

Structured follow-up

and assessment of

clinical outcomes (e.g. local control, toxicity)

8

Mandatory: Protocols, multi-professional team &

structured follow-up

07.09.17

ESTRO SBRT COURSE 2017

8