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Practice Guideline
. 2025 Apr;26(4):e14624.
doi: 10.1002/acm2.14624. Epub 2025 Mar 12.

AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT

Eileen Cirino  1 , Stanley H Benedict  2 , Pamela J Dupre  3 , Per H Halvorsen  4 , Grace Gwe-Ya Kim  5 , Meral L Reyhan  6 , Christopher W Schneider  7 , Lei Wang  8 , Carl P Weaver  9 , Sua Yoo  10
Affiliations
Practice Guideline

AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT

Eileen Cirino et al. J Appl Clin Med Phys. 2025 Apr.

Abstract

The purpose of this Medical Physics Practice Guideline (MPPG) is to describe the minimum level of medical physics support deemed prudent for the practice of linear-accelerator, photon-based (linac) stereotactic radiosurgery (SRS), and stereotactic body radiation therapy (SBRT) services. This report is an update of MPPG 9.a1 published in 2017. As SRS and SBRT services are rapidly adopted into the community-practice setting, this guideline has been developed to build on the work presented in MPPG 9.a and provide current appropriate minimum practice guidelines for such services.

Keywords: QA; SBRT; SRS.

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Conflict of interest statement

The Chair of the Working Group on AAPM‐RSS MPPG 9.b: SRS‐SBRT has reviewed the required Conflict of Interest statement on file for each member of Working Group on AAPM‐RSS MPPG 9.b: SRS‐SBRT and determined that disclosure of potential Conflicts of Interest is an adequate management plan.

The members of Working Group on AAPM‐RSS MPPG 9.b: SRS‐SBRT listed below attest that they have no potential Conflicts of Interest related to the subject matter or materials presented in this document.

Eileen Cirino, MS, FAAPM, FACMP, Chair.

Stanley H. Benedict, PhD, FAAPM, FACMP.

Pamela J. Dupre, MS.

Meral L. Reyhan, PhD.

Christopher W. Schneider, PhD.

Lei Wang, PhD.

Carl P. Weaver, MS.

Sua Yoo, PhD.

Nicholai, Wingreen, BA.

The members of Working Group on AAPM‐RSS MPPG 9.b: SRS‐SBRT listed below disclose the following potential Conflicts of Interest related to the subject matter or materials presented in this document.

Per H. Halvorsen, MS, FAAPM, FACR is employed by Varian's professional services division to perform physics consultation related to implementation of advanced technology.

Grace Gwe‐Ya Kim, PhD, FAAPM is a Consultant for Varian Medical Systems.

References

    1. Halvorsen PH, Cirino E, Das IJ, et al. AAPM‐RSS Medical Physics Practice Guideline 9.a. For SRS‐SBRT. J Appl Clin Med Phys. 2017;18(5):10‐21. - PMC - PubMed
    1. AAPM Position Statement 7‐A, Definition of a Qualified Medical Physicist. Accessed September 30, 2023. https://www.aapm.org/org/policies/details.asp?id=2551&type=PS
    1. Amurao M, Gress DA, Keenan MA, Halvorsen PH, Nye JA, Mahesh M. Quality management, quality assurance and quality control in medical physics. J Appl Clin Med Phys. 2023;24:e13885. - PMC - PubMed
    1. Huq MS, Frass BA, Dunscombe PB, et al. The report of Task Group 100 of the AAPM: application of risk methods to radiation therapy quality management. Med Phys. 2016;43:4209‐4262. - PMC - PubMed
    1. American College of Radiology . ACR‐ARS Practice Parameter for the Performance of Brain Stereotactic Radiosurgery, revised 2021. Accessed September 30, 2023. https://www.acr.org/‐/media/ACR/Files/Practice‐Parameters/StereoBrain.pdf

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