SGRT London 2021 Josh Naylor, Imaging Lead Principal Physicist, University Hospitals Dorset, UK Deborah Branson, Technique Development Lead, University Hospitals Dorset, UK

1. Bringing SGRT to every NHS patient,
every fraction - in rural Dorset…
Josh Naylor (Principal Physicist)
Debbie Branson (Technique Development Radiographer)

2. Overview
• Background
• Why SGRT?
• How?
• Patient pathway
• 3 tips for success
• What’s next

6. Main Poole site Dorchester Satellite
Clinac iX x1
(commissioning in progress)

9. SABR lung

10. 0
0.1
0.2
0.3
0.4
0.5
0.6
Mid Pre
Total
shift
[cm]
SGRT
NO SGRT
SABR lung

11. -0.6
-0.5
-0.4
-0.3
-0.2
-0.1
0
0.1
0.2
0.3
0.4
Offset
in
cm
Direction (Lat., Ant., Sup.)
SGRT
NO SGRT
SABR lung

12. Set up

14. Verification
protocol
error , 19
Geographical
miss - shift
error , 16
Geographical
miss -
verification
image , 6
Geographical
miss - online
matching
error , 6
Incorrect
immobilisatio
n , 4
Patient ID /
queuing error
, 3

15. Real time

16. Timeline so far
• 14.05.2021
• install
• 15.09.2021
• all linacs /
• all sites
• 2022
• DIBH
• 20.07.2021
• start – free breathe breast / pelvis

17. CONFIDENTIAL COMMERCIAL INFORMATION
© Vision RT 2021
CT
RECEPTION
TREATMENT
Change throughout patient pathway
SLIDE CREDIT: BEN WAGHORN

18. ‘Tip 1’: pre-treatment

19. ‘Tip 2’: Training

20. ‘Tip 3’: the team

21. What’s next?

23. What’s next?

25. Thanks!
• All radiotherapy staff involved in the
commissioning and routine service
• Robert White legacy fund / UHD for
funding
• Ben Waghorn for patient pathway slide
• Siobhan Gorman for data analysis
Contact for questions: joshua.naylor@uhd.nhs.uk