Evidence map›Paper›PMID 40886140›Full record

ArticleJournal of applied clinical medical physics2025

Longitudinal evaluation of workflow optimization in radiotherapy: A 4-year retrospective study.

Chenlei Guo, Peng Huang, Bining Yang, Hao Jing, Wenlong Xia, Zhuanbo Yang, Kuo Men, Jianrong Dai

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Chenlei GuoDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Peng HuangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Bining YangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Hao JingDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Wenlong XiaDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Zhuanbo YangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Kuo MenDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jianrong DaiDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Funding

CAMS Innovation Fund for Medical Sciences 2023-I2M-C&T-B-076National High Level Hospital Clinical Research Funding 2022-CICAMS-80102022203National Natural Science Foundation of China 11275270
6 · The paper itself

Abstract

backgroundEfficient workflows are essential for timely, high-quality radiotherapy. In 2020, an internal audit identified key workflow bottlenecks, including long patient wait times, suboptimal treatment planning, and inadequate quality control. Accordingly, since early 2021, we implemented targeted workflow improvements to address these deficiencies. PURPOSE: This retrospective study evaluated the impact of workflow optimization from 2021 to 2024, focusing on operational and clinical metrics.

methodsThe radiotherapy workflow includes patient admission, imaging (CT/MR simulation), treatment planning, multi-level quality assurance, plan transfer, and first radiation delivery. Optimization measures included AI-assisted tumor contouring, standardized planning protocols, dynamic scheduling, automated quality control, and predictive maintenance using machine learning. Data from 25 838 patients were analyzed, examining wait times, planning durations, and quality control efficiency.

resultsThe total admission-to-treatment duration decreased by 30%, from 12.83 days (interquartile range [IQR] = 9.48-16.98) pre-2020 to 8.78 days (IQR = 3.72-10.48) in 2021, stabilizing at 9.34 days (IQR = 4.27-12.01) by 2024. CT/MR simulation preparation time increased from 2.24 days (IQR = 1.24-2.17) to 3.82 days (IQR = 1.47-4.65). Treatment planning preparation time decreased significantly from 5.75 days (IQR = 3.85-7.02) to 2.57 days (IQR = 1.48-3.42). Treatment planning duration also decreased from 2.68 days (IQR = 2.07-2.87) to 1.33 days (IQR = 0.91-1.84). A new physics review stage, introduced in 2021, required 0.04 days (IQR = 0.01-0.04) in 2024. Clinical review time decreased from 0.78 days (IQR = 0.38-0.98) pre-2020 to 0.46 days (IQR = 0.06-0.80) in 2024. Plan transfer time reduced from 0.42 days (IQR = 0.11-0.66) to 0.24 days (IQR = 0.05-0.28). The preparation time for the first radiation delivery decreased from 2.48 days (IQR = 1.84-3.27) to 0.81 days (IQR = 0.22-1.06).

conclusionWorkflow optimization yielded sustained improvements in radiotherapy efficiency, safety, and patient satisfaction, highlighting the impact of AI-driven tools, standardized workflows, and data-driven management in advancing global radiotherapy practices.

Indexed as

NeoplasmsQuality Assurance, Health CareRadiotherapy Planning, Computer-AssistedWorkflowHumansLongitudinal StudiesMachine LearningQuality ControlRadiotherapy DosageRadiotherapy, Intensity-ModulatedRetrospective StudiesTomography, X-Ray Computedartificial intelligencequality assuranceradiotherapytreatment efficiencyworkflow optimization

Identifiers

PMID40886140
PMCPMC12398953

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Registered trials

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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.