1. Recommendations for Multicentre Clinical Trials Involving Dosimetry for Molecular Radiotherapy.
- Author
-
Taprogge, J., Wadsley, J., Miles, E., and Flux, G.D.
- Subjects
- *
CLINICAL trials , *DOSE-response relationship (Radiation) , *MEDICAL cooperation , *QUALITY assurance , *RADIATION dosimetry , *RADIOTHERAPY , *RESEARCH , *SINGLE-photon emission computed tomography - Abstract
Multicentre clinical trials involving a dosimetry component are becoming more prevalent in molecular radiotherapy and are essential to generate the evidence to support individualised approaches to treatment planning and to ensure that sufficient patients are recruited to achieve the statistical significance required. Quality assurance programmes should be considered to support the standardisation required to achieve meaningful results. Trials should be designed to ensure that dosimetry results from image acquisition systems across centres are comparable by incorporating steps to standardise the methodologies used for the quantification of images and dosimetry. Furthermore, it is essential to assess the expertise and resources available at each participating site prior to trial commencement. A quality assurance plan should be drawn up and training provided if necessary. Standardisation of quantification and dosimetry methodologies used in a trial are essential to ensure that results from different centres may be collated. In addition, appropriate uncertainty analysis should be carried out to correct for differences in methodologies between centres. Recommendations are provided to support dosimetry studies based on the experience of several previous and ongoing multicentre trials. • Multicentre clinical trials involving a dosimetry component are becoming more prevalent in molecular radiotherapy. • Recommendations are provided to support molecular radiotherapy dosimetry studies based on experience of previous/ongoing multicentre trials. • In the future, the use of global calibration factors will potentially allow for expansion of existing imaging networks. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF