ACPSEM ROSG TBI working group recommendations for quality assurance in total body irradiation

  • Raelene NelliganEmail author
  • Michael Bailey
  • Thu Tran
  • Zoë Baldwin
Recommendations Paper


The Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM) radiation oncology specialty group (ROSG) formed a series of working groups in 2011 to develop recommendations for guidance of radiation oncology medical physics practice within the Australasian setting. These recommendations are intended to provide guidance for safe work practices and a suitable level of quality control without detailed work instructions. It is the responsibility of the medical physicist to ensure that locally available equipment and procedures are sufficiently sensitive to establish compliance to these recommendations. The recommendations are endorsed by the ROSG, and have been subject to independent expert reviews. For the Australian audience, these recommendations should be read in conjunction with the tripartite radiation oncology practice standards [1, 2]. This publication presents the recommendations of the ACPSEM total body irradiation working group (TBIWG) and has been developed in alignment with other international associations. However, these recommendations should be read in conjunction with relevant national, state or territory legislation and local requirements, which take precedence over the ACPSEM recommendations. It is hoped that the users of this and other ACPSEM recommendations will contribute to the development of future versions through the ROSG of the ACPSEM. This document serves as a guideline for calibration and quality assurance of equipment used for TBI in Australasia.


TBI Total body irradiation QA 



American Association of Physicists in Medicine


Australasian College of Physical Scientists and Engineers in Medicine






Computed tomography




Ion chamber


International Commission on Radiation Units


Intensity modulated radiotherapy


Linear accelerator


Metal-oxide-silicon field-effect transistor


Monitor unit


Organs at risk




Percentage depth dose


Quality assurance


Radiation oncology specialty group


Source-to-axis distance


Source-to-surface distance


Total body irradiation


Total body irradiation working group


Thermoluminescent detector


Tissue-maximum ratio


Tissue-phantom ratio


Treatment planning system


Volumetric modulated arc therapy



The authors would like to acknowledge the work done by the chair of the ACPSEM ROSG, Michael Bailey, for implementation of the concept of the position papers and organisation of the Radiation Oncology working parties, and of members of the Radiation Oncology Specialty Group for their useful input.


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Copyright information

© Australasian College of Physical Scientists and Engineers in Medicine 2015

Authors and Affiliations

  • Raelene Nelligan
    • 1
    Email author
  • Michael Bailey
    • 2
  • Thu Tran
    • 3
  • Zoë Baldwin
    • 4
    • 5
  1. 1.Royal Adelaide HospitalAdelaideAustralia
  2. 2.Illawarra Cancer Care CentreWollongong HospitalWollongongAustralia
  3. 3.Barwon Health, University HospitalGeelongAustralia
  4. 4.Cancer Care ServicesRoyal Brisbane and Women’s HospitalHerstonAustralia
  5. 5.Genesis Cancer CareMater HospitalCrows NestAustralia

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