Evidence map›Paper›PMID 42903664›Full record

ArticlePhysics and imaging in radiation oncology2026

Evidence-based design of a patient-specific quality assurance program through retrospective analysis of pretreatment and

Esther Decabooter, Sebastiaan M J J G Nijsten

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Esther DecabooterMaastro, Maastricht Radiation Oncology Institute, Maastricht, The Netherlands.
Sebastiaan M J J G NijstenMaastro, Maastricht Radiation Oncology Institute, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: As radiotherapy techniques become increasingly complex, patient-specific quality assurance (PSQA) must evolve to detect a broad spectrum of potential failure modes across the treatment chain. This study presents a extensive evaluation of a multi-modal PSQA program by assessing its ability to detect clinically relevant failure modes and quantifying its efficacy. Materials and Methods: A five-year retrospective analysis was conducted of an integrated PSQA program implemented at Maastro, combining secondary dose calculations, log-file based verification, and Electronic Portal Dosimetry (EPD) in both pretreatment and Results: A total of 18,558 treatment plans were analyzed in the pretreatment workflow and 1817 treatment plans in the Conclusions: This retrospective analysis demonstrated that a comprehensive framework incorporating independent, purpose-specific PSQA methods is essential to detect a wide range of treatment deviations. Combining complementary methods improves the reliability and interpretability of results. The clinical impact of a PSQA program can be further enhanced by adopting more clinically meaningful evaluation metrics and using the results to guide the optimization of new treatment strategies.

Indexed as

Electronic Portal DosimetryIn vivo dosimetryLog file based PSQAPatient-specific QARetrospective analysisSecondary dose calculation

Identifiers

PMID42903664
PMCPMC13682176

What OpenQuestion holds

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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.