Radiation therapy plays an important role in the management of many cancers. The delivery of safe and effective radiation requires multiple components, though the identification of the radiation target (tumor), and areas to avoid (normal tissues) represents a critical step in this process. Accuracy with target delineation ? commonly referred to as contouring ? requires sound understanding of anatomy, radiology, and most importantly the individual patient. Research clearly shows that poor contouring leads to increased toxicity, and decreased survival, which emphasizes the consequence of contouring quality. This proposed project aims to create a user-friendly web-based imaging resource for contouring in radiation oncology. Our proposed tool will entail a searchable library of individual patient cases, each of which will include 3D imaging and contours defining tumor and normal tissues. Additionally, we will create focused content for each individual case describing the rationale behind contour delineation. We will pilot, widely deploy, and evaluate the efficacy of this contouring tool among the greater radiation oncology community. This project will develop an educational resource with the overall goal of improving the quality of contouring in radiation oncology, which ultimately stands to improve quality and safety of radiation therapy.

Public Health Relevance

Identifying tumor and normal tissues in radiation oncology (contouring) represents an imperative step in the delivery of safe and effective radiation therapy. This project will create, pilot, disseminate, and evaluate a user- friendly online image-based contouring resource for radiation oncology providers with the ultimate goal of improving quality of radiation therapy delivery.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Small Research Grants (R03)
Project #
1R03HS024321-01A1
Application #
9182722
Study Section
Healthcare Patient Safety and Quality Improvement Research (HSQR)
Program Officer
Burgess, Denise
Project Start
2016-07-01
Project End
2017-06-30
Budget Start
2016-07-01
Budget End
2017-06-30
Support Year
1
Fiscal Year
2016
Total Cost
Indirect Cost
Name
University of California San Diego
Department
Radiation-Diagnostic/Oncology
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Gillespie, Erin F; Panjwani, Neil; Golden, Daniel W et al. (2017) Multi-institutional Randomized Trial Testing the Utility of an Interactive Three-dimensional Contouring Atlas Among Radiation Oncology Residents. Int J Radiat Oncol Biol Phys 98:547-554