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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2017

Patient-related quality assurance with different combinations of treatment planning systems, techniques, and machines : A multi-institutional survey.

Beatrice Steiniger, René Berger, Sabine Eilzer, Christine Kornhuber, Kathleen Lorenz, Torsten Peil, Carsten Reiffenstuhl, Johannes Schilz, Dirk Schröder, Michael Schwedas and 5 more

Abstract readComparative StudyEvaluation StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Implementing a new scale for failure mode and effects analysis (FMEA) for risk analysis in a radiation oncology department.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  3. Article
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

15 authors.

Beatrice SteinigerDepartment of Radiation Oncology, University Hospital Jena, Bachstraße 18, 07743, Jena, Germany. beatrice.steiniger@med.uni-jena.de.ORCID http://orcid.org/0000-0001-8940-8448
René BergerDepartment of Radiation Oncology, SRH Hospital Gera, Straße des Friedens 122, 07548, Gera, Germany.
Sabine EilzerRadiation therapy Berlin southwest, site Martin-Luther-Hospital, Caspar-Theyß-Straße 33, 14193, Berlin, Germany.
Christine KornhuberDepartment of Radiation Oncology, University Hospital Halle, Ernst-Grube-Straße 40, 06120, Halle (Saale), Germany.
Kathleen LorenzDepartment for Radiation Oncology, Hospital of Chemnitz, Bürgerstraße 2, 09113, Chemnitz, Germany.
Torsten PeilMVZ Center for Radiation Oncology Halle GmbH, Niemeyerstraße 24, 06110, Halle (Saale), Germany.
Carsten ReiffenstuhlDepartment of Radiation Oncology, University Hospital Carl Gustav Carus, Fetscherstraße 74, 01304, Dresden, Germany.
Johannes SchilzDepartment of Radiation Oncology, Helios Hospital Erfurt, Nordhäuser Straße 74, 99089, Erfurt, Germany.
Dirk SchröderDepartment of Radiation Oncology, SRH Central Hospital Suhl, Albert-Schweitzer-Straße 2, 98527, Suhl, Germany.
Michael SchwedasDepartment of Radiation Oncology, University Hospital Jena, Bachstraße 18, 07743, Jena, Germany.
Stephanie PensoldDepartment of Radiation Oncology, Community Hospital Dresden-Friedrichstadt, Friedrichstraße 41, 01067, Dresden, Germany.
Mathias WalkeDepartment of Radiation Oncology, Otto-von-Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Kirsten WeibertDepartment of Radiation Oncology, University Hospital Jena, Bachstraße 18, 07743, Jena, Germany.
Ulrich WolfDepartment of Radiation Oncology, University Hospital Leipzig, Stephanstraße 9a, 04103, Leipzig, Germany.
Tilo WiezorekDepartment of Radiation Oncology, University Hospital Jena, Bachstraße 18, 07743, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis project compares the different patient-related quality assurance systems for intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) techniques currently used in the central Germany area with an independent measuring system. MATERIALS AND

methodsThe participating institutions generated 21 treatment plans with different combinations of treatment planning systems (TPS) and linear accelerators (LINAC) for the QUASIMODO (Quality ASsurance of Intensity MODulated radiation Oncology) patient model. The plans were exposed to the ArcCHECK measuring system (Sun Nuclear Corporation, Melbourne, FL, USA). The dose distributions were analyzed using the corresponding software and a point dose measured at the isocenter with an ionization chamber.

resultsAccording to the generally used criteria of a 10 % threshold, 3 % difference, and 3 mm distance, the majority of plans investigated showed a gamma index exceeding 95 %. Only one plan did not fulfill the criteria and three of the plans did not comply with the commonly accepted tolerance level of ±3 % in point dose measurement.

conclusionUsing only one of the two examined methods for patient-related quality assurance is not sufficiently significant in all cases.

Indexed as

Radiation OncologyEquipment Failure AnalysisGermanyGuideline AdherenceHumansNeoplasmsPatient-Centered CareQuality Assurance, Health CareRadiotherapy, ConformalRadiotherapy DosageRadiotherapy Planning, Computer-AssistedReproducibility of ResultsSensitivity and SpecificityCalibrationLinear acceleratorsOrgans at riskRadiation oncologyRadiotherapy, intensity-modulated

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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.