Evidence map›Paper›PMID 37793084›Full record

GuidelineJournal of applied clinical medical physics2023

AAPM Medical Physics Practice Guideline 8.b: Linear accelerator performance tests.

Robert F Krauss, Salim Balik, Eileen T Cirino, Austin Hadley, Navneeth Hariharan, Shannon M Holmes, Kayla Kielar, Hossein Lavvafi, Kiernan McCullough, Steven Palefsky and 5 more

Open access · goldAbstract readPractice Guideline
In one paragraph

Guideline 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 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
14.0field-weighted citation impact, top 1% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.Journal of applied clinical medical physics · 2025
    Guideline
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Initial follow-up of mechanical QC tests for RapidArc Dynamic (RAD).Journal of applied clinical medical physics · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Radiotherapy medical physics in the Philippines: A contemporary overview.Journal of applied clinical medical physics · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Hybrid Monte Carlo model for efficient tissue Cherenkov emission estimation to assess changes from beam size, energy and incidence.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2025
    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 at 14 institutions in 2 countries.

Robert F KraussSt. Francis Hospital, Memphis, Tennessee, USA.
Salim BalikUniversity of Southern California, Los Angeles, California, USA.
Eileen T CirinoBeth Israel Lahey Health, Burlington, Massachusetts, USA.
Austin HadleyAnchorage Radiation Oncology Center, Anchorage, Alaska, USA.
Navneeth HariharanBeth Israel Lahey Health, Burlington, Massachusetts, USA.
Shannon M HolmesStandard Imaging, Inc., Middleton, Wisconsin, USA.
Kayla KielarVarian Medical Systems, Palo Alto, California, USA.
Hossein LavvafiCTSI Oncology Solutions, Washington, District of Columbia, USA.
Kiernan McCulloughColorado Associates in Medical Physics, Colorado Springs, Colorado, USA.
Steven PalefskyElekta, Atlanta, Georgia, USA.
J Phillip SawyerSawyer Medical Physics LLC, Cincinnati, Ohio, USA.
Koren SmithUMass Chan Medical School/IROC Rhode Island QA Center, Lincoln, Rhode Island, USA.
Jason TracySun Nuclear, Melbourne, Florida, USA.
Jeff D WinterDepartment of Medical Physics, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Nicholai E WingreenAmerican Association of Physicists in Medicine, Alexandria, Virginia, USA.
Lahey Medical Center · USAlaska Neurology Center · USAmerican Association of Physicists in Medicine · USClinical Solutions · USColorado Engineering (United States) · USElekta (United States) · USPrincess Margaret Cancer Centre · CARhode Island Department of Health · USSawyer Technical Materials (United States) · USStandard Imaging (United States) · USSt. Francis Hospital · USSun Nuclear (United States) · USUniversity of Southern California · USVarian Medical Systems (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this guideline is to provide a list of critical performance tests to assist the Qualified Medical Physicist (QMP) in establishing and maintaining a safe and effective quality assurance (QA) program. The performance tests on a linear accelerator (linac) should be selected to fit the clinical patterns of use of the accelerator and care should be given to perform tests which are relevant to detecting errors related to the specific use of the accelerator. Current recommendations for linac QA were reviewed to determine any changes required to those tests highlighted by the original report as well as considering new components of the treatment process that have become common since its publication. Recommendations are made on the acquisition of reference data, routine establishment of machine isocenter, basing performance tests on clinical use of the linac, working with vendors to establish QA tests and performing tests after maintenance and upgrades. The recommended tests proposed in this guideline were chosen based on consensus of the guideline's committee after assessing necessary changes from the previous report. The tests are grouped together by class of test (e.g., dosimetry, mechanical, etc.) and clinical parameter tested. Implementation notes are included for each test so that the QMP can understand the overall goal of each test. This guideline will assist the QMP in developing a comprehensive QA program for linacs in the external beam radiation therapy setting. The committee sought to prioritize tests by their implication on quality and patient safety. The QMP is ultimately responsible for implementing appropriate tests. In the spirit of the report from American Association of Physicists in Medicine Task Group 100, individual institutions are encouraged to analyze the risks involved in their own clinical practice and determine which performance tests are relevant in their own radiotherapy clinics.

Indexed as

RadiometryRadiotherapy Planning, Computer-AssistedHumansParticle AcceleratorsPhysicsRadionuclide Imagingbaselinecommissioningexternal beamguidelineIMRTlinacMPPGpercentage depth doseprimary reference dataprofilesquality assuranceTG-142TG-198VMAT

Identifiers

PMID37793084
PMCPMC10647991
OpenAlexW4387329785

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.