Implementation of Quality Assurance Protocols in the Radiotherapy Department of N.N. Blokhin National Medical Research Center of Oncology
https://doi.org/10.37174/2587-7593-2026-9-2-9-14
Abstract
Purpose: To develop and implement clinical radiotherapy protocols at the aimed at standardizing all stages of the treatment process and improving the quality of radiotherapy care.
Materials and methods: As part of the federal program “Fight Against Oncological Diseases,” a large-scale equipment upgrade was carried out, requiring revision of treatment planning approaches and staff training. The developed protocols cover the entire radiotherapy workflow — from CT simulation to treatment delivery — and include detailed recommendations for target volume delineation, organs-at-risk definition, dose constraints, and treatment plan quality criteria. Based on international standards (IAEA, ICRU, RTOG, TG 263), unified structure nomenclature, color coding, and dosimetric evaluation criteria were implemented.
Results: The implementation of 157 clinical protocols enabled acceleration of the treatment planning process, reduction of inter-observer variability, and improvement in the reproducibility of treatment outcomes. Standardization of clinical workflows contributed to reducing the probability of errors, simplifying the training of new staff members, and creating conditions for the automation of several procedures. The introduction of clinical protocols into radiation oncology practice improved the quality and safety of radiotherapy, enhanced team coordination, and contributed to better clinical outcomes for patients.
About the Authors
M. V. Chernykh
N.N. Blokhin National Medical Research Center of Oncology; I.M. Sechenov First Moscow State Medical University
Russian Federation
Competing Interests:
Russian Federation
Marina V. Chernykh
24 Kashirskoye Highway, Moscow, 115478
8 Trubetskaya str., Moscow, 119048
Competing Interests:
The authors declare no conflict of interest
O. A. Mironova
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Competing Interests:
Russian Federation
Olesia A. Mironova
24 Kashirskoye Highway, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
V. A. Ivanov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Competing Interests:
Russian Federation
Valery A. Ivanov
24 Kashirskoye Highway, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
A. S. Uvarov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Competing Interests:
Russian Federation
Andrey S. Uvarov
24 Kashirskoye Highway, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
V. D. Chernykh
Russian University of Medicine
Russian Federation
Competing Interests:
Russian Federation
Vasili D. Chernykh
4 Dolgorukovskaya str., Moscow, 127006
Competing Interests:
The authors declare no conflict of interest
I. S. Stilidi
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation
Competing Interests:
Russian Federation
Ivan S. Stilidi
24 Kashirskoye Highway, Moscow, 115478
Competing Interests:
The authors declare no conflict of interest
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Review
For citations:
Chernykh M.V., Mironova O.A., Ivanov V.A., Uvarov A.S., Chernykh V.D., Stilidi I.S. Implementation of Quality Assurance Protocols in the Radiotherapy Department of N.N. Blokhin National Medical Research Center of Oncology. Journal of oncology: diagnostic radiology and radiotherapy. 2026;9(2):9-14. (In Russ.) https://doi.org/10.37174/2587-7593-2026-9-2-9-14
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