ArticleJournal of applied clinical medical physics2023
Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow.
Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 2 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
- ACPSEM guideline: commissioning and quality assurance of Magnetic Resonance Imaging Linear Accelerators.Physical and engineering sciences in medicine · 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
- In radiation oncology, the best way to maintain patient safety when implementing cutting edge technologies such as AI-based and real-time adaptive techniques is through prospective hazard analysis.Physical and engineering sciences in medicine · 2026Article
- An AI-assisted, failure mode-based toolkit for proactive risk management in radiotherapy: A feasibility study.Technical innovations & patient support in radiation oncology · 2026Article
- Systems-theoretic process analysis of a CT-guided online adaptive radiation therapy system in a multi-vendor environment.Journal of applied clinical medical physics · 2025Article
- Risk analysis of the Unity 1.5T MR-Linac adapt-to-shape workflow.Journal of applied clinical medical physics · 2025Article
- Real-time gated proton therapy: Introducing clinical workflow and failure modes and effects analysis (FMEA).Technical innovations & patient support in radiation oncology · 2025Article
- Mitigating Risks in Cone Beam Computed Tomography Guided Online Adaptive Radiation Therapy: A Preventative Reference Planning Review Approach.Advances in radiation oncology · 2024Article
- Multi-institutional questionnaire-based survey on online adaptive radiotherapy performed using commercial systems in Japan in 2023.Radiological physics and technology · 2024Article
- Re-evaluation of the prospective risk analysis for artificial-intelligence driven cone beam computed tomography-based online adaptive radiotherapy after one year of clinical experience.Zeitschrift fur medizinische Physik · 2024Article
- Optimization of treatment workflow for 0.35T MR-Linac system.Journal of applied clinical medical physics · 2024Article
- Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow.Journal of applied clinical medical physics · 2023Article
- Single-institution Experience for Interrupted Radiotherapy in Magnetic Resonance Guided Accelerator.Journal of medical physicsArticle
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
background and purposeNewer technologies allow for daily treatment adaptation, providing the ability to account for setup variations and organ motion but comes at the cost of increasing the treatment workflow complexity. One such technology is the adapt-to-position (ATP) workflow on the Unity MR-Linac. Prospective risk assessment of a new workflow allows clinics to catch errors before they occur, especially for processes that include novel and unfamiliar steps.
methodsAs part of a quality management program, failure modes and effects analysis was performed on the ATP treatment workflow following the recommendations of AAPM's Task Group 100. A multidisciplinary team was formed to identify and evaluate failure modes for all the steps taken during a daily treatment workflow. Failure modes of high severity and overall score were isolated and addressed.
resultsMitigations were determined for high-ranking failure modes and implemented into the clinic. High-ranking failure modes existed in all steps of the workflow. Failure modes were then rescored to evaluate the effectiveness of the mitigations.
conclusionFailure modes and effects analysis on the Unity MR-Linac highlighted areas in the ATP workflow that could be prone to failures and allowed our clinic to change the process to be more robust.
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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.