ArticleMedical physics2020
Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275.
Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 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
74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 142 citations in OpenAlex.
- 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
- Medical Physics Practice Guideline (MPPG) 11.a: Plan and chart review in external beam radiotherapy and brachytherapy.Journal of applied clinical medical physics · 2021Guideline
- Design, Customization, and Implementation of an Oncology Information System-Based Paperless Proton Therapy Workflow.International journal of particle therapy · 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
- 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
- AI-assisted automation will reduce the need for medical physics trainees and entry-level workforce.Journal of applied clinical medical physics · 2026Article
- Application of an updated severity-based FMEA approach to Radiation Therapy QA: A multi-institutional exercise.Journal of applied clinical medical physics · 2026Article
- Use of Large Language Models to Enhance Failure Mode and Effects Analysis: A Case Study.Advances in radiation oncology · 2026Article
- Incorporating Intensity Modulated Total Body Irradiation (IMRT-TBI) Into Future Cooperative Group Clinical Trials: An NRG Hematologic Malignancies Working Group-Led Report From the National Clinical Trials Network.International journal of radiation oncology, biology, physics · 2026Article
- Software engineers develop better clinical applications than physicists with coding skills.Journal of applied clinical medical physics · 2026Article
- Development and evaluation of an automated report-based chart checking tool in external beam radiotherapy.Journal of applied clinical medical physics · 2026Article
- Three-dimensional Cherenkov emission surface mapping into the patient coordinate system for spatial delivery verification in EBRT.Journal of applied clinical medical physics · 2026Article
- Impact of Quality Improvement Interventions on the Efficiency of Treatment Planning Timelines in a Modern Proton Therapy Clinic.Advances in radiation oncology · 2026Article
- Simulation training in radiation oncology.Journal of applied clinical medical physics · 2026Article
- Pre-PROTO-PRIME: stereotactic body proton therapy to the prostate and pelvic nodes for high-risk and node-positive prostate cancer - feasibility, acute toxicity and dosimetric insights.Clinical and translational radiation oncology · 2026Article
- A pathway away from measurement-based patient-specific QA: A review of contemporary quality assurance for external-beam radiotherapy sub-systems.Journal of applied clinical medical physics · 2025Review
- Automated Treatment Plan Integrity Verification for Proton Therapy: Enhancing Error Detection and Workflow Efficiency.International journal of particle therapy · 2025Article
- A dual-layer quality assurance approach leveraging dose prediction for efficient review of automated contours of organs at risk in the brain in radiotherapy.Physics and imaging in radiation oncology · 2025Article
14 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
15 authors at 14 institutions in 2 countries.
Funding
Abstract
backgroundWhile the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high-quality care, very few specific recommendations currently exist for this task.
aimsThe goal of TG-275 is to provide practical, evidence-based recommendations on physics plan and chart review for radiation therapy. While this report is aimed mainly at medical physicists, others may benefit including dosimetrists, radiation therapists, physicians and other professionals interested in quality management.
methodsThe scope of the report includes photon/electron external beam radiotherapy (EBRT), proton radiotherapy, as well as high-dose rate (HDR) brachytherapy for gynecological applications (currently the highest volume brachytherapy service in most practices). The following review time points are considered: initial review prior to treatment, weekly review, and end-of-treatment review. The Task Group takes a risk-informed approach to developing recommendations. A failure mode and effects analysis was performed to determine the highest-risk aspects of each process. In the case of photon/electron EBRT, a survey of all American Association of Physicists in Medicine (AAPM) members was also conducted to determine current practices. A draft of this report was provided to the full AAPM membership for comment through a 3-week open-comment period, and the report was revised in response to these comments.
resultsThe highest-risk failure modes included 112 failure modes in photon/electron EBRT initial review, 55 in weekly and end-of-treatment review, 24 for initial review specific to proton therapy, and 48 in HDR brachytherapy. A 103-question survey on current practices was released to all AAPM members who self-reported as working in the radiation oncology field. The response rate was 33%. The survey data and risk data were used to inform recommendations. DISCUSSION: Tables of recommended checks are presented and recommendations for best practice are discussed. Suggestions to software vendors are also provided.
conclusionsTG-275 provides specific recommendations for physics plan and chart review which should enhance the safety and quality of care for patients receiving radiation treatments.
Indexed as
Identifiers
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.