Dr Tom Roques, Norfolk & Norwich University Hospital
Dr Tom Roques, Norfolk & Norwich University Hospital
Dr Tom Roques, Norfolk & Norwich University Hospital
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09/01/2013<br />
To improve volume<br />
definition<br />
Meticulous documentation of MDT discussions<br />
Pre-planning meeting - especially for selection of target<br />
volume<br />
Dedicated time for volume definition (like operating lists)<br />
Very careful review of planning CT<br />
Radiologist/surgeon input to difficult cases<br />
Review all volumes with another clinician – delineation<br />
Take part in clinical trials with QA<br />
To improve volume<br />
definition<br />
Think like a surgeon<br />
Question every bit of every contour all the time<br />
Map your recurrences very carefully<br />
Outsourcing of rarer cases?<br />
Better teaching tools (including radiation oncologists?)<br />
Always remember we are the weakest link and the biggest<br />
source of errors<br />
20
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