Recommendations for Multicentre Clinical Trials Involving Dosimetry for Molecular Radiotherapy.
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ICR Authors
Authors
Taprogge, J
Wadsley, J
Miles, E
Flux, GD
Wadsley, J
Miles, E
Flux, GD
Document Type
Journal Article
Date
2021-02-01
Date Accepted
2020-12-02
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.
Citation
Clinical oncology (Royal College of Radiologists (Great Britain)), 2021, 33 (2), pp. 131 - 136
Source Title
Publisher
ELSEVIER SCIENCE LONDON
ISSN
0936-6555
eISSN
1433-2981
Collections
Research Team
Radioisotope Physics
