GuidelineMedical physics2016
The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management.
Guideline in Medical physics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 259 papers, 9 of them syntheses that pooled 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.
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.
Who cites it
259 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Failure modes and effects analysis for clinical implementation of online adaptive radiotherapy: A systematic review.Journal of applied clinical medical physics · 2026Pooled it
- Systematic review of prospective hazard analysis in radiation therapy.Medical physics · 2025Pooled it
- AAPM medical physics practice guideline 13.a: HDR brachytherapy, part B.Journal of applied clinical medical physics · 2025Guideline
- AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.Journal of applied clinical medical physics · 2025Guideline
- AAPM Medical Physics Practice Guideline 8.b: Linear accelerator performance tests.Journal of applied clinical medical physics · 2023Guideline
- AAPM medical physics practice guideline 13.a: HDR brachytherapy, part A.Journal of applied clinical medical physics · 2023Guideline
- Medical physics practice guideline 4.b: Development, implementation, use and maintenance of safety checklists.Journal of applied clinical medical physics · 2023Guideline
- Medical Physics Practice Guideline (MPPG) 11.a: Plan and chart review in external beam radiotherapy and brachytherapy.Journal of applied clinical medical physics · 2021Guideline
- Recommended procedures and responsibilities for radiosurgery (SRS) and extracranial stereotactic body radiotherapy (SBRT): report of the SEOR in collaboration with the SEFM.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021Guideline
- Design, Customization, and Implementation of an Oncology Information System-Based Paperless Proton Therapy Workflow.International journal of particle therapy · 2026Article
- Vision and implementation for the first U.S. carbon ion therapy center part II: Design philosophy and clinical implementation.Journal of applied clinical medical physics · 2026Review
- ACPSEM guideline: commissioning and quality assurance of Magnetic Resonance Imaging Linear Accelerators.Physical and engineering sciences in medicine · 2026Article
- Automated linac downtime tracking across 4 radiation oncology clinics within a single hospital system utilizing statistical process control.Journal of applied clinical medical physics · 2026Article
- A technology-specific risk analysis of surface guided radiation therapy.Journal of applied clinical medical physics · 2026Article
- Can physics review catch prescription and PTV margin errors in fully automated radiotherapy plans? A hazard study.Journal of applied clinical medical physics · 2026Article
- Augmenting patient safety surveillance in radiation oncology with large language model-based root cause analysis: A proof-of-concept study.PLOS digital health · 2026Article
- Routine physics work efficacy and efficiency improvement through a shared-duty physicist-of-the-day model in a multi-hospital radiation oncology network.Journal of applied clinical medical physics · 2026Article
- A group-based hands-on seminar for teaching failure mode and effects analysis in CyberKnife stereotactic radiotherapy.Journal of applied clinical medical physics · 2026Article
- A centralized hybrid model for regulatory inspection readiness in a multi-site radiation oncology system.Journal of applied clinical medical physics · 2026Article
- AI-driven troubleshooting for TrueBeam systems: Development and testing of a GPT-4.1 Chatbot.Technical innovations & patient support in radiation oncology · 2026Article
199 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
The increasing complexity of modern radiation therapy planning and delivery challenges traditional prescriptive quality management (QM) methods, such as many of those included in guidelines published by organizations such as the AAPM, ASTRO, ACR, ESTRO, and IAEA. These prescriptive guidelines have traditionally focused on monitoring all aspects of the functional performance of radiotherapy (RT) equipment by comparing parameters against tolerances set at strict but achievable values. Many errors that occur in radiation oncology are not due to failures in devices and software; rather they are failures in workflow and process. A systematic understanding of the likelihood and clinical impact of possible failures throughout a course of radiotherapy is needed to direct limit QM resources efficiently to produce maximum safety and quality of patient care. Task Group 100 of the AAPM has taken a broad view of these issues and has developed a framework for designing QM activities, based on estimates of the probability of identified failures and their clinical outcome through the RT planning and delivery process. The Task Group has chosen a specific radiotherapy process required for "intensity modulated radiation therapy (IMRT)" as a case study. The goal of this work is to apply modern risk-based analysis techniques to this complex RT process in order to demonstrate to the RT community that such techniques may help identify more effective and efficient ways to enhance the safety and quality of our treatment processes. The task group generated by consensus an example quality management program strategy for the IMRT process performed at the institution of one of the authors. This report describes the methodology and nomenclature developed, presents the process maps, FMEAs, fault trees, and QM programs developed, and makes suggestions on how this information could be used in the clinic. The development and implementation of risk-assessment techniques will make radiation therapy safer and more efficient.
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What OpenQuestion holds
Registered trials
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.