Project Title

Reinforcing and Further Developing a Quality Assurance/Quality Control Programme in Radiotherapy

Oracle Project Number

2060757

Objectives

Reinforcement and further development of Quality Assurance/Quality Control Programme in radiotherapy in Croatia to improve quality and efficiency of radiation therapy and to avoid accidental exposure during therapeutic exposure. Since it is recognized as a long term objective graduated approach is followed: a) introduction of QA/QC systems in two major radiotherapy departments was done in the last TC cycle, but in light of major renewal of radiation therapy equipment in all radiotherapy departments in Croatia during last year there is need for further work b) awareness of QA/QC importance was recognized at national level and partially accomplished. Nevertheless, the work should be continued untill complete expansion to the national level will be fullfilled.

General Project Data

Field(s)

(29) Dosimetry and medical physics

Project Achievements

CRO6010 Closure Report

Baseline of the current project, were the results of the CRO/6008 project. Procedures developed, described and implemented into two hospitals through the project CRO/6/008 were reviewed in light of new radiotherapy equipment purchased as well as advanced radiotherapy techniques implemented. Reinforcement and further development of Quality Assurance/Quality Control Programme in radiotherapy in Croatia to improve quality and efficiency of radiation therapy and to avoid accidental exposure during therapeutic exposure was the objective of the project.

During the implementation of the project, the experts from Rijeka and Osijek disseminated reviewed procedures and protocols to other centres, since similar radiotherapy equipment was purchased for all radiotherapy departments in Croatia. The attendance of two responsible medical experts, one from Clinical Hospital Rijeka and one from University; Medical Faculty; University J.J. Strossmayer in Osijek at the conference on radiotherapy was very useful since at least two sessions per day were dedicated to the issues of QA/QC in medicine. One scientific visitor learned the design and a practical implementation of QA programme in advanced radiotherapy department, specifically in the transition from 2D to 3D CRT and implementation of IMRT. The primary objective of three practical on-the-job fellowship trainings to learn all about the introduction to a comprehensive quality assurance program in an advanced radiotherapy centre, to see how QA/QC processes should be organized which equipment to use for the purpose of QA/QC and the qualification of personnel working with that equipment. Treatments planning techniques and follow up of the patients that are on treatment were also included in the training.

Output

1. Radiotherapy teams from two major regional hospitals radiotherapy departments trained in advanced QA/QC procedures.

2. Equipment QC protocols and procedures developed under CRO/6/008 were supplemented according to the new radiation therapy equipment installed.

3. Proposed protocols were upgraded and further developed according to analyse of results of national audits performed.

4. Radiation therapy QC procedures upgraded in two major regional hospitals according to new radiation therapy equipment installed. Upgraded equipment protocols were independently tested in pilot hospitals.

5. National workshops organized in cooperation with relevant national professional societies and regulatory body on QA/QC in radiotherapy was already in process but postponed to later date, but partially substituted by conducting the off-site workshops by the national well trained experts, demonstrating the use of QC equipment measurements, procedures and possible benefits from implementing QA/QC systems at radiotherapy department.

6. Internal audits were performed in order to share the experiences from the two hospitals with medical physicist and radiotherapy technologists engaged in QC in other hospitals in the country.

7. Workgroups in front of medical physicist society were established to assist the regulatory body in implementation the radiation protection regulation related to QA/QC in radiotherapy.

8. Trained experts started to elaborate the regulatory framework in advanced QA/QC procedures for radiotherapy departments. New “Regulations about Conditions and Measures of Radiation Protection in Use of Electrical devices which Produce Ionising Radiation”, demanding the implementation of QA/QC in radiotherapy were issued.

Outcome

1. QA/QC programmes in two major regional hospitals were upgraded and harmonized according to new radiation therapy equipment installed and reviewed.

2. Awareness of importance of QA/QC system for the radiation therapy treatment outcome and avoidance of accidental exposure in radiation therapy built on national level.

3. Expansion of renewed and upgraded QA/QC programme from two pilot hospitals to full national coverage using the help of professional societies and the regulatory body.

ACC Sector

Project Status

Completed on 2014-08-28

Original Funding

Core

1st Year Of Approval

2012

Estimated Duration

2 year(s)

IAEA Personnel

Programme Management Officer

CHUPOV, Andrei

TCEU

Europe Section 2

Section Head

SALMINS, Andrejs

TCEU

Europe Section 2

Technical Officer(s)

HEALY, Brendan James

NAHU

Dosimetry and Medical Radiation Physics Section

Recipient Institutes and Counterpart(s)

Croatia

University J.J. Strossmayer; University J.J. Strossmayer; Medical Faculty; Osijek (FAJ, Dario)

Croatia

University Hospital Osijek; Department of Oncology and Radiotherapy; Osijek (KASABASIC, Mladen)

Croatia

University Clinical Hospital Rijeka; Rijeka (JURKOVIC, Slaven )

Financial Approvals

Core Approvals

Year

Experts

Meetings/Workshops

Fellowships

Scientific Visits

Training Courses

HR Total

Equipment

Subcontracts

Miscellaneous

PR Total

Total Approval

2012

0.00

0.00

0.00

16,000.00

0.00

16,000.00

32,300.00

0.00

0.00

32,300.00

48,300.00

2013

9,860.00

2,350.00

6,500.00

0.00

0.00

18,710.00

31,500.00

0.00

0.00

31,500.00

50,210.00

Footnote Approvals

Year

Experts

Meetings/Workshops

Fellowships

Scientific Visits

Training Courses

HR Total

Equipment

Subcontracts

Miscellaneous

PR Total

Total Approval

9001

IRPA 13 Congress, Glasgow, Scotland

Field: 6A

Mission 01 JD Submitted: 2012-04-12

Duty Station : Elsewhere( UK )

FAJ, Dario

CRO

2012-05-14

2012-05-18

4

JURKOVIC, Slaven

CRO

2012-05-14

2012-05-18

4

CRO13002

Ms. IVKOVIC, Ana

2012-11-06

2013-01-29 a

AUS

I

2013-03-11 a

2013-05-01

2013-05-01

2013-05-31

00/100

TC Field:

Radiation Metrology and Dosimetry(6F)(CRO13002)

Training:

The primary objective of fellowship is to see the design and practical implementation of QA programme in a advanced radiotherapy

department. She want to see how QA/QC processes are organized which equipment is being used for the purpose of QA/QC and the

qualification of personel working with that equipment. Also she is interested in treatment planning techniques and followup of the

patients that are on treatment.

The training requested is related to the IAEA's TC project entitled: Reinforcing and Further Developing a Quality Assurance/Quality Control Programme in Radiotherapy (Oracle Project Number:2060757)(CRO6010).

Host Institute(s):

Landeskrankenhaus Salzburg; Landeskrankenhaus Salzburg; University Hospital of the Paracelsus Private Medical University; Institut für Radiotherapie und Radio-Onkologie, Salzburg

CRO13001

Mr. KASABASIC, Mladen

2012-10-30

2012-11-20 a

GFR

I

2012-11-28 a

2013-04-08

2013-04-08

2013-04-12

00/7

TC Field:

Radiation Metrology and Dosimetry(6F)(CRO13001)

Training:

SV for a period of one week in order to see the design and a practical implementation of QA programme in advanced

radiotherapy department. He is interested in the transition from 2D to 3D CRT and implementation of IMRT

The training requested is related to the IAEA's TC project entitled: Reinforcing and Further Developing a Quality Assurance/Quality Control Programme in Radiotherapy (Oracle Project Number:2060757)(CRO6010).

Host Institute(s):

Universitätsklinikum Tübingen; Radiologische Klink, Tübingen

CRO13018

Mr. FAJ, Dario

2013-03-11

2013-05-17 a

SWE

I

2013-07-17 a

2013-10-14

2013-10-14

2013-10-25

00/14

TC Field:

Radiation Metrology and Dosimetry(6F)(CRO13018)

Training:

Introduction to a comprehensive quality assurance program in an advanced radiotherapy centre.

The training requested is related to the IAEA's TC project entitled: Reinforcing and Further Developing a Quality Assurance/Quality Control Programme in Radiotherapy (Oracle Project Number:2060757)(CRO6010).

Host Institute(s):

Lund University; Skane University Hospital, Lund

CRO13019

Mr. JURKOVIC, Slaven

2013-03-11

2013-05-17 a

SWE

I

2013-07-17 a

2013-10-14

2013-10-14

2013-10-25

00/14

TC Field:

Radiation Metrology and Dosimetry(6F)(CRO13019)

Training:

Introduction to a comprehensive quality assurance program in an advanced radiotherapy centre.

The training requested is related to the IAEA's TC project entitled: Reinforcing and Further Developing a Quality Assurance/Quality Control Programme in Radiotherapy (Oracle Project Number:2060757)(CRO6010).

Host Institute(s):

Lund University; Skane University Hospital, Lund

Training Courses

Equipment

WP

PO Num

Total Value

Order Date

Status

Vendor Name

Vendor Location

Item

Quantity

Unit

Item Description

Planed Shipping Date

Actual Shipping Date

Delivery Date

201303916

2013/07/26

APPROVED

CANBERRA PACKARD Central Europe GmbH

1

1

each

Dosimetry equipment as per attached offer.

2013/11/30

2013/11/19

2013/11/19

201206503

2012/12/12

APPROVED

EBSCO GmbH

1

1

each

ICRU Reports 62

2012/12/21

2013/04/22

2013/04/29

2

1

each

ICRU Reports 64

2012/12/21

2013/04/22

2013/04/29

3

1

each

ICRU Reports 85a

2012/12/21

2013/04/22

2013/04/29

201206502

2012/12/12

APPROVED

EBSCO GmbH

1

1

each

Measurement Quality Assurance for Ionizing Radiation Dosimetry (ICRU Report 76)

2012/12/21

2013/04/22

2013/11/21

2

1

each

Prescribing, Recording, and Reporting Intensity-Modulated Photon-Beam Therapy (IMRT)(ICRU Report 83)

2012/12/21

2013/04/22

2013/11/21

201304372

2013/08/22

APPROVED

CIRS - Computerized Imaging Reference Systems, Inc.

1

0.927167

each

Dosimetry equipment as per attached offer .

2013/11/30

2013/11/12

2014/01/13

1

0.0728326

each

Dosimetry equipment as per attached offer .

2013/11/30

2013/11/12

2014/01/13

201300282

2013/01/21

APPROVED

Standard Imaging, Inc.

1

1

lot

QC3 phantom and PIPS Pro software as per attached offer.

2013/03/15

2013/02/11

2014/01/13

201304623

2013/09/04

APPROVED

CANBERRA PACKARD Central Europe GmbH

1

1

each

Dosimetry equipment as per attached offer.

2013/11/30

2013/11/19

2014/01/13

201305099

2013/09/26

APPROVED

CIRS - Computerized Imaging Reference Systems, Inc.

1

1

each

Dosimetry equipment as per attached quotation .

2013/11/30

2013/10/21

2013/12/09

201300708

2013/02/12

APPROVED

CANBERRA PACKARD Central Europe GmbH

1

1

each

UNIDOS webline, Cat. T10022

2013/05/25

2013/05/28

2013/07/22

2

1

each

QUICKCHECK webline w/o docking station, Cat. L981975. Transport and Handling Euro 180.00 included in the item's price.

2013/05/25

2013/05/28

2013/07/22

201304626

2013/09/04

APPROVED

IBA DOSIMETRY GmbH

1

1

each

Dosimetry equipment :

2013/10/30

2013/11/08

2014/01/13

201300415

2013/01/25

APPROVED

IBA DOSIMETRY GmbH

1

1

lot

Set of phantoms as follows :

2013/03/25

2013/03/25

2014/01/13

201305082

2013/09/25

APPROVED

CNMC Company Inc.

1

1

each

MINI CT QC PHANTOM

2013/11/30

2014/02/27

2014/04/07

201305097

2013/09/26

APPROVED

CNMC Company Inc.

1

1

each

MINI CT QC PHANTOM , Model 76-430.

2013/11/30

2014/01/21

2014/02/05

Sub-contracts

WP

PO Num

Total Value

Order Date

Status

Vendor Name

Vendor Location

Item

Quantity

Unit

Item Description

Planed Shipping Date

Actual Shipping Date

Delivery Date

Training Courses

WP

PO Num

Total Value

Order Date

Status

Vendor Name

Vendor Location

Item

Quantity

Unit

Item Description

Planed Shipping Date

Actual Shipping Date

Delivery Date

Others

WP

PO Num

Total Value

Order Date

Status

Vendor Name

Vendor Location

Item

Quantity

Unit

Item Description

Planed Shipping Date

Actual Shipping Date

Delivery Date

FTS-35573

2014/01/28

APPROVED

Region Skane

1

1000

each

SupplierNumber:31485|FAJ, MR.. Dario |Non Staff

FTS-23238

2013/02/04

APPROVED

GIZ - Deutsche Gesellschaft feur Internationale Zusammenarbeit GmbH- Asien- Pazifik- Spezialprogramme weltweit- Stiftung

1

650

each

1064238|KASABASIC, Mr. Mladen|Staff|Placement Fee

FTS-32353

2013/10/23

APPROVED

Lund University; Skane University Hospital- Department of Clinical Physiology

1

1000

each

SupplierNumber:31485|FAJ, MR.. Dario |Non Staff

A1306578-1525EUR

2013/04/04

APPROVED

American Express Services Europe Limited, Niederlassung Wien

1

761.87

each

13FT06578|576135|IVKOVIC, MS. ANA|Osijek (CRO) - Salzburg (AUS) - Osijek

A1311953-1525EUR

2013/09/11

APPROVED

American Express Services Europe Limited, Niederlassung Wien

1

395.86

each

13ST11953|40628|FAJ, MR. DARIO|Zagreb (CRO) - Lund (SWE) - Zagreb (CR

FTS-23237

2013/02/04

APPROVED

United Nations Development Program

1

1924

each

1064238|KASABASIC, Mr. Mladen|Staff|DSA: GFR(Tübingen), 8 - 12 Apr 2013, 6 nights @ $304=$1824 Contingency, 1 country, $100

A1311954-1525EUR

2013/09/11

APPROVED

American Express Services Europe Limited, Niederlassung Wien

1

395.86

each

13ST11954|19102|JURKOVIC, MR. SLAVEN|Zagreb (CRO) - Lund (SWE) - Zagreb (CR

EMS-14163

2012/05/02

APPROVED

FAJ, Mr Dario

1

2981

each

510703|FAJ, Mr. Dario |Staff|FAJ, Dario (Duty Travel Non Staff for TC Projects)

FTS-30402

2013/09/10

APPROVED

JURKOVIC, Mr Slaven

1

3504

each

SupplierNumber:17636|JURKOVIC, . Slaven |Non Staff

2

665

each

SupplierNumber:17636|JURKOVIC, . Slaven |Non Staff

FTS-30400

2013/09/10

APPROVED

FAJ, Mr Dario

1

4169

each

SupplierNumber:31485| FAJ, Dario |Non Staff

FTS-32352

2013/10/23

APPROVED

Lund University; Skane University Hospital- Department of Clinical Physiology

1

1000

each

SupplierNumber:17636|JURKOVIC, MR.. Slaven |Non Staff

A1301006-1525EUR

2013/02/05

APPROVED

American Express Services Europe Limited, Niederlassung Wien

1

813.62

each

13ST01006|580117|KASABASIC, MR. MLADEN|Osijek (CRO) -Tuebingen (GFR) - Osijek (

FTS-24997

2013/04/04

APPROVED

United Nations Development Program

1

3831

each

SupplierNumber:47651| IVKOVIC, Ana |Non Staff

FTS-35575

2014/01/28

APPROVED

Region Skane

1

1000

each

SupplierNumber:17636|JURKOVIC, MR.. Slaven |Non Staff

EMS-14164

2012/05/02

APPROVED

JURKOVIC, Mr Slaven

1

2981

each

71984|JURKOVIC, Mr. Slaven|Staff|JURKOVIC, (Duty Travel Non Staff for TC Projects)