The Tsurumi Hospital introduced a state-of-the-art, multifunctional cancer radiation therapy system in April 2011. When a new building was completed. The cancer radiation therapy started in September of the same year. Our hospital as a cancer treatment hospital provides high-quality care, and can deliver radiation therapy of high performance and high precision in safety, and aims to be trusted by society and patients. In a cancer radiation therapy, it is important to work in teams made up of doctors, radiological technologists and nurses having a high degree of professionalism. In such circumstances radiological technologists have to play various roles and shoulder responsibility. For example, they have to take responsibility for dose distribution creation and calculation of monitor units according treatment plans, systems, positioning radiography, creating a fixture and immobilizer, verification of irradiation, setup of patient, quality assurance and quality control of related equipment for the radiotherapy system, explanation to the patient, medical safety and radiation maintenances etc. Since the introduction of the cancer radiation therapy system, radiological technologists have had to carry out work required for radiation therapy such as verification of creating specifications, determination of equipment, procedures based on the relevant laws and regulations, acceptance test, acquisition of clinical data, commissioning and verification of treatment dose. This paper describes the role and practice of radiological technologists to lead a cancer radiation therapy, based upon our experience.

The aims of this study are 1. to evaluate the usability of workshop to introduce and manage distress screening effectively and efficiently and to use it for cancer patients and their family and 2. to consider the appropriate subject of workshop. All of the participants answered the questionnaire on the site (n=51). Their knowledge about screening practice, various screening tools and how to use screening tools and data from screening tool were significantly improved after the workshop. The workshop was highly regarded by participants. Thirty-eight of fifty-one patients responded to web questionnaire three months later (Response rate: 75%). More than thirty percent of participants put into practice what they learned in the workshop. The workshop decreased factors to interfere screening practice three months later. Knowledge about how to use screening tools was negatively correlated to number of cancer patients at hospital where participants worked and number of their hospital beds. And factor to interfere screening practice was negatively correlated to how long participants were involved in palliative care team. This study indicated the usability of workshop to spread screening triage program regarding cancer patients’ distress. The workshop may be appropriate for medical staffs who have relatively much experience of palliative care team and who have difficulty in screening practice at designated cancer hospitals where number of cancer patients is relatively large.