AAPM Task Group 264: The safe clinical implementation of MLC tracking in radiotherapy

The era of real-time radiotherapy is upon us. Robotic and gimbaled linac tracking are clinically established technologies with the clinical realization couch in development. Multileaf collimators (MLCs) a standard equipment for most cancer systems, therefore MLC potentially widely available technology. has been subject theoretical experimental research decades was first implemented patient treatments 2013. AAPM Task Group 264 Safe Clinical Implementation Tracking Radiotherapy Report charged to proactively provide broader radiation oncology community (a) implementation guidelines including hardware, software, indications use, (b) commissioning quality assurance recommendations based on early user experience, as well Failure Mode Effects Analysis, (c) discussion potential future developments. deliverables from this report include: an explanation its historical development; terms definitions relevant tracking; benefit of, experience guidelines, example worksheets; decision pathway, outlook overall recommendations.