This trial will utilize TRIAD for dosimetry digital treatment data submission. TRIAD is the American College of Radiology’s (ACR) image exchange application and it is used by the NRG. See here for information on installing TRIAD.

Please fill out the credentialing status inquiry form to let us know that you would like to be credentialed for this protocol. Institutions that were previously credentialed to participate in another protocol will be notified if any additional credentialing steps are required.

NOTE: At NRG-GU010 Step 2 Randomization, only sites which have completed the required HDR and/or LDR credentialing prior to Step 1 may select a Brachytherapy option for the Boost Modality.

In order to complete the IMRT credentialing process the following items must be completed:

• Complete or update the Facility Questionnaire.

• Irradiate the IROC Houston's IMRT H&N phantom. Please fill in the request form online.

• Successfully complete the soft tissue IGRT requirements. Please also complete the IGRT questionnaire.

Note: Institutions that are credentialed to participate in other IMRT protocols requiring an IMRT H&N phantom irradiation need not repeat the phantom irradiation for credentialing for this protocol.

In order to complete the Proton credentialing process, the following items must be completed:

• All participants must have completed baseline approval for proton therapy.

• All participants are asked to complete the Facility Questionnaire.

• Irradiate IROC Houston's proton H&N phantom. Please fill in the request form online.

• Successfully complete the IGRT credentialing requirements. Please also complete the IGRT questionnaire.

LDR Brachytherapy Credentialing :

Institutions wishing to enter patients onto protocols that include permanent prostate brachytherapy implants must be credentialed prior to participation in the study. Because these procedures require a team effort, the institution, the radiation oncologist and radiation physicist are credentialed as a team.

1.Complete or update the LDR Facility Questionnaire.

2.Complete the single seed Reference Case.

3.Submit post implant data for a recent LDR prostate patient to be submitted digitally to TRIAD .

4.If performing TRUS-based planning, please complete the TRUS Questionnaire .

LDR Facility Questionnaire and Reference Case 1 can be emailed to jlowenst@mdanderson.org or submitted via snail mail to:

 Attention: Dosimetry

 IROC Houston QA Center

 8060 El Rio St.

 Houston, TX 77054

Note:

An institution that has been previously credentialed for a radiation source model does not need to submit the complete package to become credentialed for an additional source model. It is only necessary to submit the two reference cases, performed with the new source model. Similarly, changing to a different treatment planning system requires re-credentialing, and only the two reference cases need to be submitted. However, if there is a change in physicist, you need to complete items 2 and 3 above. A change in physician requires a submission of an updated LDR Facility Questionnaire and a recently treated LDR prostate patient.

  1. Common Errors Found in Low Dose Rate (LDR) Prostate Credentialing - ASTRO 2013 Poster.

  2. Sample of a satisfactory Dry-run Case .

HDR Brachytherapy Credentialing :

Institutions wishing to enter patients onto protocols that include HDR prostate brachytherapy implants must be credentialed prior to participation in the study. Because these procedures require a team effort, the institution, the radiation oncologist and radiation physicist are credentialed as a team.

1.Complete or update the HDR Facility Questionnaire.

2.Complete the single seed Reference Case.

3.Submit post implant data for a recent HDR prostate patient to be submitted digitally to TRIAD .

4.If performing TRUS-based planning, please complete the TRUS Questionnaire .

Note:

Institutions previously credentialed for prostate brachytherapy are eligible to participate on this protocol using HDR if there has not been a change in physician or physicist. Please complete the credentialing status inquiry form if you were credentialed previously for a prostate LDR or HDR trial (i.e. 0815, 1115, or 0924). We will notify you if any additional credentialing is required.