Highlights on the IAEA project QUATRO

The success of radiotherapy in term of prob- ability of local control of the tumor and the limiting factor in treatments in term of probability of complications are strictly depending on the accuracy and precision of the pa- tient treatment. An overall Quality Assurance programme (QAP) has been recognized as an essential tool to assure that the goals of radiotherapy are achieved. As part of a comprehensive approach to QAP an independent external audit is considered a very effective method of checking that the quality of activities in an Institution permits to achieve the required objectives. Since many years the International Atomic Energy Agency (IAEA) has audited Member States for radiotherapy dosimetry, for educating and training radio- therapy professionals and for reviewing the radiotherapy process. Recently a new approach has been developed and named ''Quality Assurance Team for Radiation Oncology (QUATRO)''. The principal aim of QUATRO is to review all the radiotherapy process, including organization, infra- structure, clinical and medical physics aspects of the radio- therapy services. It also includes a review of the hospital's professional competence with a view to quality improve- ment. The aim of this paper is to introduce and to highlight the QUATRO methodology describing its effectiveness on improving either the quality of the radiotherapy treatments and in general the management of the patient.