Evidence map›Paper›PMID 32368862›Full record

ArticleJournal of applied clinical medical physics2020

Comprehensive validation of halcyon 2.0 plans and the implementation of patient specific QA with multiple detector platforms.

Eric Laugeman, Ana Heermann, Jessica Hilliard, Michael Watts, Marshia Roberson, Robert Morris, Sreekrishna Goddu, Abhishek Sethi, Imran Zoberi, Hyun Kim and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 38 citations in OpenAlex.

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  12. Comparison of deep learning models for building two-dimensional non-transit EPID Dosimetry on Varian Halcyon.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
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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

13 authors at 1 institution in 1 country.

Eric LaugemanDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Ana HeermannDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Jessica HilliardDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Michael WattsDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Marshia RobersonDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Robert MorrisDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Sreekrishna GodduDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Abhishek SethiDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Imran ZoberiDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Hyun KimDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Sasa MuticDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Geoffrey HugoDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Bin CaiDepartment of Radiation Oncology, Washington University, St. Louis, MO, USA.
Washington University in St. Louis · US

Funding

Varian Medical Systems
6 · The paper itself

Abstract

purposeTo perform a comprehensive validation of plans generated on a preconfigured Halcyon 2.0 with preloaded beam model, including evaluations of new features and implementing the patient specific quality assurance (PSQA) process with multiple detectors.

methodsA total of 56 plans were generated in Eclipse V15.6 (Varian Medical System) with a preconfigured Halcyon treatment machine. Ten plans were developed via the AAPM TG-119 test suite with both IMRT and VMAT techniques. 34 clinically treated plans using C-arm LINAC from 24 patients were replanned on Halcyon using IMRT or VMAT techniques for a variety of sites including: brain, head and neck, lung, breast, abdomen, and pelvis. Six of those plans were breast VMAT plans utilizing the extended treatment field technique available with Halcyon 2.0. The dynamically flattened beam (DFB), another new feature on Halcyon 2.0, was also used for an AP/PA spine and four field box pelvis, as well as ten 3D breast plans. All 56 plans were measured with an ion chamber (IC), film, portal dosimetry (PD), ArcCHECK, and Delta4. Tolerance and action limits were calculated and compared to the recommendations of TG-218.

resultsTG-119 IC and film confidence limits met those set by the task group, except for IMRT target point dose. Forty-four of 46 clinical plans were within 3% for IC measurements. Average gamma passing rates with 3% dose difference and 2mm distance-to-agreement for IMRT/VMAT plans were: Film - 96.8%, PD - 99.9%, ArcCHECK - 99.1%, and Delta4 - 99.2%. Calculated action limits were: Film - 86.3%, PD - 98.4%, ArcCHECK - 96.1%, and Delta4 - 95.7%. Extended treatment field technique was fully validated and 3D plans with DFB had similar results to IMRT/VMAT plans.

conclusionHalcyon plan deliveries were verified with multiple measurement devices. New features of Halcyon 2.0 were also validated. Traditional PSQA techniques and process specific tolerance and action limits were successfully implemented.

Indexed as

Radiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedHumansParticle AcceleratorsRadiometryRadiotherapy Dosagedouble-stack MLCpatient-specific QAring gantry LINAC

Identifiers

PMID32368862
PMCPMC7386180
OpenAlexW3023741585

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.