Revision of guideline for structure of radiation oncology by the patterns of care study

Teruki Teshima, Hideo Tatsuzaki, Michihide Mitsumori, Norio Mitsuhashi, Takashi Uno, Katsumasa Nakamura, Minako Sumi, Naoto Shikama, Takafumi Toita, Masahiko Oguchi, Masahiro Kenjo, Masahiko Koizumi, Hiroshi Onishi, Yutaka Takahashi, Takeshi Kodaira, Chikako Yamauchi, Yasuo Ashino, Kazuhiko Ogawa, Toshihiko Inoue

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


"Guidelines for Structure of Radiation Oncology in Japan" was revised by referring to annual change of structure and process in Japan and to other international guidelines. These results were published as so called "Japanese Blue Book Guidelines". Number of cancer patients who require radiation is increasing by more than 7% annually. The standard guidelines for annual patient load per FTE radiation oncologist were set at 200 (warning level 300), those per FTE radiation technologist 120 (warning level 200), and those per one external beam equipment 250-350 (warning level 400). As the standards of process, establishment of verifiable information system like radiotherapy database and hospital cancer registration was proposed. Economic analysis showed that enough profit to meet with these guidelines became available recently in most radiotherapy institutions except for the smallest group.

Original languageEnglish (US)
Pages (from-to)107-112
Number of pages6
JournalJournal of JASTRO
Issue number2
StatePublished - Jun 2006
Externally publishedYes


  • Japanese Blue Book Guideline
  • Patterns of Care Study
  • Radiation Oncology
  • Structural Guideline


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