Evidence map›Paper›PMID 33095978›Full record

ArticleJournal of applied clinical medical physics2020

Error sensitivity of a log file analysis tool compared with a helical diode array dosimeter for VMAT delivery quality assurance.

Philipp Szeverinski, Matthias Kowatsch, Thomas Künzler, Marco Meinschad, Patrick Clemens, Alexander F DeVries

Abstract read
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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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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

8 citing papers in PubMed.

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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

6 authors.

Philipp SzeverinskiInstitute of Medical Physics, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Matthias KowatschInstitute of Medical Physics, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Thomas KünzlerInstitute of Medical Physics, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Marco MeinschadInstitute of Medical Physics, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Patrick ClemensDepartment of Radio-Oncology, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Alexander F DeVriesDepartment of Radio-Oncology, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntegrating log file analysis with LINACWatch® (LW) into clinical routine as part of the quality assurance (QA) process could be a time-saving strategy that does not compromise on quality. The purpose is to determine the error sensitivity of log file analysis using LINACWatch® compared with a measurement device (ArcCHECK®, AC) for VMAT delivery QA. MATERIALS AND

methodsMulti-leaf collimator (MLC) errors, collimator angle errors, MLC shift errors and dose errors were inserted to analyze error detection sensitivity. A total of 36 plans were manipulated with different magnitudes of errors. The gamma index protocols for AC were 3%/3 mm/Global and 2%/2 mm/Global, as well as 2%/2 mm/Global, and 1.5%/1.5 mm/Global for LW. Additionally, deviations of the collimator and monitor units between TPS and log file were calculated as RMS values. A 0.125 cm

resultsThe sensitivity for AC was 20.4% and 49.6% vs 63.0% and 86.5% for LW, depending on the analysis protocol. For MLC opening and closing errors, the detection rate was 19.0% and 47.7% for AC vs 50.5% and 75.5% for LW. For MLC shift errors, it was 29.6% and 66.7% for AC vs 66.7% and 83.3% for LW. AC could detect 25.0% and 44.4% of all collimator errors. Log file analysis detected all collimator errors using 1° detection level. 13.2% and 42.4% of all dose errors were detected by AC vs 59.0% and 92.4% for LW using gamma analysis. Using RMS value, all dose errors were detected by LW (1% detection level).

conclusionThe results of this study clearly show that log file analysis is an excellent complement to phantom-based delivery QA of VMAT plans. We recommend a 1.5%/1.5 mm/Global criteria for log file-based gamma calculations. Log file analysis was implemented successfully in our clinical routine for VMAT delivery QA.

Indexed as

Radiation DosimetersRadiotherapy, Intensity-ModulatedHumansPhantoms, ImagingQuality Assurance, Health CareRadiotherapy DosageRadiotherapy Planning, Computer-AssistedArcCHECKLINACWatchlog fileVMAT delivery quality assurance

Identifiers

PMID33095978
PMCPMC7700945

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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.