scholarly journals A ring‐based compensator IMRT system optimized for low‐ and middle‐income countries: Design and treatment planning study

2018 ◽  
Vol 45 (7) ◽  
pp. 3275-3286
Author(s):  
Jonathon Van Schelt ◽  
Daniel L. Smith ◽  
Nicholas Fong ◽  
Dolla Toomeh ◽  
Patricia A. Sponseller ◽  
...  
Keyword(s):  
Treatment Planning ◽  
Planning Study ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Impact of High-Dose-Rate Brachytherapy Training via Telehealth in Low- and Middle-Income Countries

2020 ◽  
pp. 1803-1812
Author(s):  
Jeremy B. Hatcher ◽  
Oluwadamilola Oladeru ◽  
Betty Chang ◽  
Sameeksha Malhotra ◽  
Megan Mcleod ◽  
...  
Keyword(s):  
Dose Rate ◽  
Treatment Planning ◽  
High Dose Rate ◽  
High Dose ◽  
Hdr Brachytherapy ◽  
Middle Income ◽  
Middle Income Countries ◽  
Radiation Oncologists ◽  
Medical Physicists ◽  
Low And Middle Income

PURPOSE Our objective was to demonstrate the efficacy of a telehealth training course on high-dose-rate (HDR) brachytherapy for gynecologic cancer treatment for clinicians in low- and middle-income countries (LMICs) METHODS A 12-week course consisting of 16 live video sessions was offered to 10 cancer centers in the Middle East, Africa, and Nepal. A total of 46 participants joined the course, and 22 participants, on average, attended each session. Radiation oncologists and medical physicists from 11 US and international institutions prepared and provided lectures for each topic covered in the course. Confidence surveys of 15 practical competencies were administered to participants before and after the course. Competencies focused on HDR commissioning, shielding, treatment planning, radiobiology, and applicators. Pre- and post-program surveys of provider confidence, measured by 5-point Likert scale, were administered and compared. RESULTS Forty-six participants, including seven chief medical physicists, 16 senior medical physicists, five radiation oncologists, and three dosimetrists, representing nine countries attended education sessions. Reported confidence scores, both aggregate and paired, demonstrated increases in confidence in all 15 competencies. Post-curriculum score improvement was statistically significant ( P < .05) for paired respondents in 11 of 15 domains. Absolute improvements were largest for confidence in applicator commissioning (2.3 to 3.8, P = .009), treatment planning system commissioning (2.2 to 3.9, P = .0055), and commissioning an HDR machine (2.2 to 4.0, P = .0031). Overall confidence in providing HDR brachytherapy services safely and teaching other providers increased from 3.1 to 3.8 and 3.0 to 3.5, respectively. CONCLUSION A 12-week, low-cost telehealth training program on HDR brachytherapy improved confidence in treatment delivery and teaching for clinicians in 10 participating LMICs.

SU-F-T-423: Automating Treatment Planning for Cervical Cancer in Low- and Middle- Income Countries

2016 ◽  
Vol 43 (6Part19) ◽  
pp. 3560-3560 ◽  
Author(s):  
K Kisling ◽  
L Zhang ◽  
J Yang ◽  
A Jhingran ◽  
P Balter ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Treatment Planning ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Some Conditions for Task Shifting in Low and Middle-Income Countries

2012 ◽  
Author(s):  
Joop de Jong ◽  
Mark Jordans ◽  
Ivan Komproe ◽  
Robert Macy ◽  
Aline & Herman Ndayisaba ◽  
...  
Keyword(s):  
Task Shifting ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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