The following are key references:

Trans Oral Robotic Surgery (TORS) and Chemo-Radiation

    • About:A series of two-page advertisements have appeared in the September and November 2016 issues of the SAMJ, entitled ‘da Vinci Transoral Robotic Surgery (TORS) is a minimally invasive alternative to open surgery and full-dose chemoradiation therapy for diseases of the head and neck’. As these advertisements go beyond simply marketing surgical equipment, but seek to influence patients, referring doctors, oncologists and head and neck surgeons on how to treat cancers of the head and neck and sleep apnoea, we have taken the unusual step of writing to the editor.
    • Download:TORS letter - Joseph SAMJ Jan 2017
    • Download:TORS letter - Fagan et al SAMJ Jan 2017

Management of Unscheduled Treatment Interruptions

Stereotactic Ablative Body Radiotherapy

    • About:This document, endorsed by the Faculty of Clinical Oncology of The Royal College of Radiologists, intends to provide guidance on the clinical implementation of stereotactic ablative body radiotherapy (SABR) across the range of indicated clinical sites. Since the knowledge, experience and expertise available, as well as the clinical and technical issues to be addressed, can vary considerably between different clinical sites, each site is addressed separately within the report with the aim being to establish minimum requirements for safe clinical implementation.
    • Download:Stereotactic Ablative Body Radiotherapy Resource

Consent to Medical Treatment in South Africa: A Medical Protection Guide

    • About:A guide compiled by the Medical Protection Society of SA on the consent process for medical treatment. The first point in their summary is the most important: Consent is not a signature on a form, but a communication process.
    • Link:medicalprotection.org

Reports by the International Commission on Radiation units and measurements including the ICRU 83

    • About:The ICRU 83 provides the information necessary to standardize techniques and procedures and to harmonize the prescribing, recording and reporting of IMRT where possible with those of other modalities. Application concepts and recommendations in other ICRU reports concerning radiation therapy are adopted and extended where required, to provide a useful reference for current practitioners and should also provide new and potential users with the basic background to enable them to understand the techniques involved and the requirements for implementing IMRT.
    • Link:Internation Commission on Radiation

Quantitative Analysis of Normal Tissue Effects

    • About:The Quantitative Analysis of normal tissue effects in the clinic review summarized the currently available 3D dose/volume/outcome data to update and refine the normal tissue dose/volume tolerance guidelines provided by the classic Emami et al paper published in 1991.
    • Download:Quantec

SASCRO Prostate Brachytherapy Guidelines Task Group

    • About:These guidelines are a tool to assist medical practitioners in providing evidence based care for patients receiving prostate brachytherapy. They are not implied to be the standard of care or to be inflexible rules and requirements of practice. The sole purpose is to assist practitioners in delivering safe and effective medical care. Variation in the approach toward prostate brachytherapy is common. The guidelines presented here are intended to aid practitioners in managing patients, not to rigidly define process or practice.
      This guideline was revised collaboratively by a team of radiation oncologists, urologists, medical physicists and radiotherapists who have experience in the delivery of prostate brachytherapy, and endorsed by SASCRO (South African Society for Clinical and Radiation Oncologists).
      The guidelines are based on the permanent prostate brachytherapy (PPB) and high-dose rate (HDR) brachytherapy guidelines published by ABS (1), ASTRO (2) and ESTRO (3).
    • Download:Prostate Brachytherapy Guidelines

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