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- Bertholet, Jenny, et al.
(author)
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Patterns of practice for adaptive and real-time radiation therapy (POP-ART RT) part II : Offline and online plan adaption for interfractional changes
- 2020
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In: Radiotherapy and Oncology. - : ELSEVIER IRELAND LTD. - 0167-8140 .- 1879-0887. ; 153, s. 88-96
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Journal article (peer-reviewed)abstract
- Purpose: The POP-ART RT study aims to determine to what extent and how intrafractional real-time respiratory motion management (RRMM), and plan adaptation for interfractional anatomical changes (ART) are used in clinical practice and to understand barriers to implementation. Here we report on part II: ART using more than one plan per target per treatment course. Materials and methods: A questionnaire on the current practice of ART, wishes for expansion or implementation, and barriers to implementation was distributed worldwide. Four types of ART were discriminated: daily online replanning, online plan library, protocolled offline replanning (all three based on a protocol), and ad-hoc offline replanning. Results: The questionnaire was completed by 177 centres from 40 countries. ART was used by 61% of respondents (31% with protocol) for a median (range) of 3 (1-8) tumour sites. CBCT/MVCT was the main imaging modality except for online daily replanning (11 users) where 10 users used MR. Two thirds of respondents wished to implement ART for a new tumour site; 40% of these had plans to do it in the next 2 years. Human/material resources and technical limitations were the main barriers to further use and implementation. Conclusions: ART was used for a broad range of tumour sites, mainly with ad-hoc offline replanning and for a median of 3 tumour sites. There was a large interest in implementing ART for more tumour sites, mainly limited by human/material resources and technical limitations. Daily online replanning was primarily performed on MR-linacs. (C) 2020 The Authors. Published by Elsevier B.V.
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| 2. |
- Laurini, Robert, et al.
(author)
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Regional knowledge management and sustainable regional development: In quest of a research and knowledge agenda
- 2023
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In: Knowledge Management for Regional Policymaking. - Cham : Springer International Publishing. ; , s. 225-258
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Book chapter (peer-reviewed)abstract
- Knowledge management technology is now ubiquitous in many businesses, yet it is much less common among local authorities. Following a "brainstorm meeting" in Lyon on knowledge management for regional planning and policymaking, a proposal was developed to set up a research agendum for future development of this topic. The main difficulty we identified is that regional knowledge encompasses many topics beyond business issues, especially those related to long-term sustainability. The goal of this paper is twofold, first to clarify the proper definitions and boundaries of regional knowledge and technology, and second, to identify the ways of using this technology effectively for governance and decision-making.
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