VMAT total body irradiation for patients undergoing bone marrow transplant

Implementation of novel Volumetric Arc Modulated (VMAT) Total Body Irradiation to improve patient access to NEMICS patients undergoing bone marrow transplant

A NEMICS service improvement grant has supported the implementation at Austin Health of a novel Volumetric Modulated Arc Therapy (VMAT) total-body irradiation for patients undergoing bone marrow transplant, to improve access for patients in the NEMICS region.

Impact 

The new VMAT approach improved the precision of treatment and ensured more consistent dose delivery across large treatment areas. Through the establishment of clear communication processes and patient information materials, the project led to a streamlined patient experience, where patient anxiety was reduced and care coordination was enhanced. Integrated patient care was ensured and efficiency increased by enhanced collaboration between radiation oncology, haematology and nursing teams. The extensive end-to-end testing of the patient treatment journey meant that the team was prepared and confident in developing the first treatment. The rotating couch top dedicated to TBI treatment as well as the development of advanced planning templates, position the department to expand the capabilities in TBI, automation and other treatments.

Outcome

The successful implementation of VMAT TBI at Austin Health enhances patient care and aligns with best practices, ensuring that patients receive holistic, high-quality care close to home while reducing the risks associated with inter-hospital transfers. This project demonstrates how active consumer partnership can drive meaningful changes toward patient-centred care.

Contact

A/Prof Richard Khor, richard.khor@austin.org.au

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Core group of our project team from the Radiation Oncology department who played a pivotal role in bringing the VMAT TBI project to clinical reality. Represented here are Radiation Therapists, Medical Physicists, Radiation Oncologists.

While not all contributors are pictured, this image acknowledges the significant MTD effort and collaboration required to successfully implement this advanced technique.