Quality assurance in radiation oncology attempts to prescribe consiste
nt, safe, and optimal delivery of radiation to treat disease. It encom
passes three major areas of treatment: clinical, physical, and technic
al. Although national approaches and guidelines of quality assurance i
n radiation oncology are available, they usually are not adequate to d
eal with the particular needs of individual institutions, nor are they
adequate to ensure uniform standards of diagnosis and treatment among
institutions. Therefore, it is important for individual institutions
to develop and implement strict quality assurance standards, based on
national guidelines as well as their own strengths and needs, to ensur
e that patients receive the highest quality of radiotherapy and that t
he successes and failures of treatment are statistically reliable. Thi
s paper addresses the importance of quality assurance in radiation onc
ology and examines the quality assurance program in the Department of
Therapeutic Radiology-Radiation Oncology at the University of Minnesot
a as an example of a program tailored to the needs of an individual in
stitution.