Dear colleagues,
The present survey has been established by the participants of the 2nd ESTRO physics workshop from the track "realtime and adaptive management of anatomical variations" held in October 2018 in Málaga, Spain.
The aim of the Pattern Of Practice for Adaptive and Real Time Radiation Therapy (POP-ART RT) study is two-fold. Firstly, we would like to determine to which extent and how adaptive and real-time radiotherapy is being used in clinical practice. Secondly and more importantly, we would like to understand what the barriers to implementation or further use are.
For this reason, it is important that all institutions, including those that are not doing any form of adaptive or real-time radiotherapy, answer the survey. If your institution is not doing any form of real-time and adaptive radiotherapy, it will only take 5 minutes for you to answer!
The questionnaire is institution-specific and we encourage you to coordinate with your colleagues to provide one answer per institution. We understand that one person may not be able to answer all the questions. As long as you are using the same computer and browser (and do not erase cookies) you will be able to edit your responses until the survey closes. Please fill the survey online, however, a PDF of the questions is available upon request (please e-mail us) and can be used for internal discussion prior to online completion. We appreciate your effort and dedication to answer as completely as possible. The estimated time to complete the survey is 5-30 minutes depending on how extensively your institution is using adaptive and real-time radiation therapy. 
The results of the survey will be disseminated in the form of scientific work. Ultimately, the results will allow us to identify the necessary actions to be taken by the vendors, the users and the society to implement adaptive and real-time radiation therapy more widely in clinical practice and increase confidence in the use of available technology.
We hope that you will find this project interesting and valuable. We thank you for your participation and we look forward to sharing the results of the POP-ART RT study with you and the RT community.
On behalf of the POP-ART RT workshop participants,
Jenny Bertholet, Gail Distefano, Ben Heijmen and Marianne Aznar
Contacts: Gail Distefano ( or Jenny Bertholet (