ReviewJournal of applied clinical medical physics2025
A pathway away from measurement-based patient-specific QA: A review of contemporary quality assurance for external-beam radiotherapy sub-systems.
Review 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 6 papers.
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.
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.
Who cites it
6 citing papers in PubMed.
- Does the traffic light protocol capture dose deviations? A longitudinal CBCT-based dose-monitoring study in adaptive RT for LA-NSCLC.Technical innovations & patient support in radiation oncology · 2026Article
- To measure or not to measure: Is pre-treatment measurement of all IMRT plans a legacy practice?Medical physics · 2026Article
- A survey of practice patterns for patient-specific quality assurance on behalf of the ESTRO dosimetry & quality assurance focus group.Physics and imaging in radiation oncology · 2026Article
- Machine Learning-Based Prediction of Elekta MLC Motion with Dosimetric Validation for Virtual Patient-Specific QA.Bioengineering (Basel, Switzerland) · 2025Article
- A pathway away from measurement-based patient-specific QA: A review of contemporary quality assurance for external-beam radiotherapy sub-systems.Journal of applied clinical medical physics · 2025Review
- MIJournal 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
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrior to the development of the IMRT and VMAT treatment techniques the quality assurance (QA) paradigm was one of routine linac QA supplemented by plan specific independent Monitor Unit checks and manual checks of data transfer. With the introduction of IMRT/VMAT treatment techniques the paradigm changed to include a patient specific measurement (PSQA) to ensure acceptable plan deliverability. PURPOSE: To inform upon whether QA procedures have improved to the point that measurement-based PSQA is feasibly no longer required.
methodsThe current status and future trajectory of QA procedures is assessed via a review of the literature pertaining to each of the three sub-systems of deliverability, namely, treatment planning system (TPS) calculation accuracy, linac delivery performance, and data transfer between treatment planning system and linac.
resultsThe literature pertaining to 3D TPS dosimetry check systems used to assure TPS calculation accuracy is highly positive about such systems ability to provide at least equivalent level testing as measurement based PSQA with regards TPS calculation accuracy. The literature suggests that linac QA procedures have evolved since the advent of IMRT and methodology has been published for assessing the linac in its dynamic state used to deliver IMRT/VMAT. Data transfer QA has also evolved since the advent of IMRT and tests and procedures are now recommended in best practice guidance for both comprehensive data transfer QA programs and pre-treatment checking and chart rounds. Additionally, the uptake of log file-based QA methods provides a useful means of testing control point data transfer integrity.
conclusionsContemporary sub-system deliverability QA has evolved to the point where measurement based PSQA is not necessarily required.
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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.