Health technology assessment of image-guided radiotherapy (IGRT): A systematic review of current evidence

Authors

  • Alireza Olyaeemanesh National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
  • Jalal Arabloo Health Management and Economics Research Center, Iran University of Medical Sciences & Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohammadreza Mobinizadeh Young Researchers and Elites Club, Science and Research Branch, Islamic Azad University, Tehran, Iran.
  • Pejman Hamouzadeh Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:

Background: Image-guided radiotherapy used multiple imaging during the radiation therapy course to improve the precision and accuracy of health care provider's treatment. Objectives: This study aims to assess the safety, effectiveness and economic aspects of image-guided radiation therapy for decision-making about this technology in Iran. Methods: In this study, the most important medical databases such as PubMed and Cochrane Library were searched until November 2014. The systematic reviews, health technology assessment reports and economic evaluation studies were included. The results of included studies were analyzed via the thematic synthesis. Results: Seven articles were included in the study. The results showed that image-guided radiation therapy, regardless of the imaging technique used in it, is associated with no major toxicity and has the potential to reduce the symptoms of poisoning. Using image-guided radiation therapy for prostate cancer resulted in substantial improvement in the quality of the received dose and optimal therapeutic dose of radiation to the targeted tumor while the radiation dose to the surrounding healthy tissues was minimal. Additionally, image-guided radiation therapy facilitated the diagnosis and management of exception deviations, including immediate changes and gross errors, weight loss, significant limbs deformity, systematic changes in the internal organs and changes in respiratory movements. Usage of image-guided radiation therapy for prostate cancer was associated with increased costs. Conclusion: Current available evidence suggests that the image-guided radiation therapy can reduce the amount of radiation to healthy tissue around the tumor and the toxicity associated with it. This can enhance the safe dose of radiation to the tumor and increase the likelihood of destruction of tumor. The current level of evidence required conducting further studies on the costs and effectiveness of this technology compared with conventional technology.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

health technology assessment of image-guided radiotherapy (igrt): a systematic review of current evidence

background: image-guided radiotherapy used multiple imaging during the radiation therapy course to improve the precision and accuracy of health care provider's treatment. objectives: this study aims to assess the safety, effectiveness and economic aspects of image-guided radiation therapy for decision-making about this technology in iran. methods: in this study, the most important medical datab...

full text

evidence of adverse selection in irans health insurance market

در این تحقیق به مطالعه وجود انتخاب نامساعد(کژ گزینی) در بازار بیمه درمان تکمیلی ایران پرداخته شده است. داده های مورد نیاز توسط پرسشنامه و به روش نمونه گیری خوشه ای جمع آوری شده است. پرسشنامه ها در میان افراد شاغل ساکن شهر تهران توریع شد. در این تحقیق با استفاده از تخمین دو مدل لجستیک و به دست آوردن ضریب همبستگی میان تقاضای بیمه درمان تکمیلی و رخداد خسارت به بررسی موضوع مورد نظر پرداخته شده است....

15 صفحه اول

The health systems\' priority setting criteria for selecting health technologies: A systematic review of the current evidence

Background: In the recent years, using health technologies to diagnose and treat diseases has had a considerable and accelerated growth. The proper use of these technologies may considerably help in the diagnosis and treatment of different diseases. On the other hand, unlimited and unrestricted entry of these technologies may result in induced demand by service providers. The aim of this study ...

full text

Performance Evaluation of Medical Image Retrieval Systems Based on a Systematic Review of the Current Literature

Background and Aim: Image, as a kind of information vehicle which can convey a large volume of information, is important especially in medicine field. Existence of different attributes of image features and various search algorithms in medical image retrieval systems and lack of an authority to evaluate the quality of retrieval systems, make a systematic review in medical image retrieval system...

full text

Image-guided prostate radiotherapy: analysis of inter- fractional setup errors

Introduction: The accuracy of the patient setup and tumor location are major factors that determine the efficacy of radiotherapy treatment planning. In the prostate radiotherapy, reproducibility of the prostate location for each treatment fraction is problematic owing to varying filling of the rectum and bladder. According to this, the aim of this study was to measure the inte...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 30  issue 1

pages  58- 65

publication date 2016-01

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023