Evidence map›Paper›PMID 26841238›Full record

ReviewThe British journal of radiology2016

Megavoltage quality control, resources and demand: a pragmatic review.

John A Mills, Steven J Colligan

Abstract readReview
In one paragraph

Review in The British journal of radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

John A Mills1 MACS-Quality Control Provider, Hinckley, UK.
Steven J Colligan2 Radiotherapy Physics Department, Raigmore Hospital, Inverness, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSatisfactory radiotherapy treatment requires quality control (QC) of the equipment as well as patient-specific checks. Increased complexity and extended use of equipment plus greater demand for complex treatment has brought pressure on QC resources. The benefits of integrating patient-specific checks and QC and the efficient use of resources is examined.

methodsA non-linear model for the probability of undetected machine failure is proposed which enables the comparative efficiency of resource to be assessed. Benefits of adopting an integrated view of patient-specific and treatment machine QC is considered, considering performance tolerance levels in the context of measurement uncertainty and patient-specific tolerances.

resultsEssential, machine-only QC is identified. A realistic approach to equipment-only QC is identified for 70% efficient use of resources and a relationship established to determine resource required for a QC programme. Integration of patient-specific and equipment QC is shown to half the resource required for equipment QC.

conclusionIncreasing benefit from QC requires greater resource, working at lower efficiency. A pragmatic approach is having guaranteed checks supplemented with additional, non-guaranteed checks performed within an integrated approach to machine- and patient-specific QC, bearing in mind the occasions when machine-only QC is essential. ADVANCES IN KNOWLEDGE: The work reveals on a quantitative basis a rational approach to accommodating the QC requirements for safe and effective treatment.

Indexed as

Radiation DosageHealth ResourcesHumansProbabilityQuality Assurance, Health CareQuality ControlRadiotherapy

Identifiers

PMID26841238
PMCPMC4986490

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.