Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275
Background While the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high‐quality care, very few specific recommendations currently exist for this task. Aims The goal of TG‐275 is to provide practical, evidence‐based recommendations on physics pla...
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| Veröffentlicht in: | Medical physics (Lancaster) 2020-06, Vol.47 (6), p.e236-e272 |
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| creator | Ford, Eric Conroy, Leigh Dong, Lei Los Santos, Luis Fong Greener, Anne Gwe‐Ya Kim, Grace Johnson, Jennifer Johnson, Perry Mechalakos, James G. Napolitano, Brian Parker, Stephanie Schofield, Deborah Smith, Koren Yorke, Ellen Wells, Michelle |
| description | Background
While the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high‐quality care, very few specific recommendations currently exist for this task.
Aims
The goal of TG‐275 is to provide practical, evidence‐based recommendations on physics plan and chart review for radiation therapy. While this report is aimed mainly at medical physicists, others may benefit including dosimetrists, radiation therapists, physicians and other professionals interested in quality management.
Methods
The scope of the report includes photon/electron external beam radiotherapy (EBRT), proton radiotherapy, as well as high‐dose rate (HDR) brachytherapy for gynecological applications (currently the highest volume brachytherapy service in most practices). The following review time points are considered: initial review prior to treatment, weekly review, and end‐of‐treatment review. The Task Group takes a risk‐informed approach to developing recommendations. A failure mode and effects analysis was performed to determine the highest‐risk aspects of each process. In the case of photon/electron EBRT, a survey of all American Association of Physicists in Medicine (AAPM) members was also conducted to determine current practices. A draft of this report was provided to the full AAPM membership for comment through a 3‐week open‐comment period, and the report was revised in response to these comments.
Results
The highest‐risk failure modes included 112 failure modes in photon/electron EBRT initial review, 55 in weekly and end‐of‐treatment review, 24 for initial review specific to proton therapy, and 48 in HDR brachytherapy. A 103‐question survey on current practices was released to all AAPM members who self‐reported as working in the radiation oncology field. The response rate was 33%. The survey data and risk data were used to inform recommendations.
Discussion
Tables of recommended checks are presented and recommendations for best practice are discussed. Suggestions to software vendors are also provided.
Conclusions
TG‐275 provides specific recommendations for physics plan and chart review which should enhance the safety and quality of care for patients receiving radiation treatments. |
| doi_str_mv | 10.1002/mp.14030 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9012523</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2343497376</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5240-a3db02813b9867684644e0429cef12c48c42510d2abf4785c2cf230382f0dccd3</originalsourceid><addsrcrecordid>eNp1kctOHDEQRa0oUZgQJL4AeZlNk_KrHywijRCQSKAgAmvL4y4zhu62Y_cMmr-nYQhJFqxq4aPjW3UJ2WdwyAD41z4eMgkC3pEZl5UoJIfmPZkBNLLgEtQO-ZTzHQCUQsFHsiNYU1alUjNy92tMZsRbj5m6kCg6h3b0a6RxucneZho7M1AztNQuTRppwrXHB-oHmkzrzejDQMclJhM3R_QKY5iY4Oh8fnlBr02-p2cprCLllfpMPjjTZdx7mbvk5vTk-vh7cf7z7Mfx_LywaspaGNEugNdMLJp6ClnLUkoEyRuLjnErayu5YtBys3CyqpXl1nEBouYOWmtbsUu-bb1xteixtThMK3Y6Jt-btNHBeP3_y-CX-jasdQOMKy4mwZcXQQq_V5hH3ftssZsOgWGVNRdSyKYSVfkXtSnknNC9fsNAP1Wj-6ifq5nQg39jvYJ_upiAYgs8-A43b4r0xeVW-Aj7NJdO</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2343497376</pqid></control><display><type>article</type><title>Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275</title><source>MEDLINE</source><source>Wiley-Blackwell Full Collection</source><source>Alma/SFX Local Collection</source><creator>Ford, Eric ; Conroy, Leigh ; Dong, Lei ; Los Santos, Luis Fong ; Greener, Anne ; Gwe‐Ya Kim, Grace ; Johnson, Jennifer ; Johnson, Perry ; Mechalakos, James G. ; Napolitano, Brian ; Parker, Stephanie ; Schofield, Deborah ; Smith, Koren ; Yorke, Ellen ; Wells, Michelle</creator><creatorcontrib>Ford, Eric ; Conroy, Leigh ; Dong, Lei ; Los Santos, Luis Fong ; Greener, Anne ; Gwe‐Ya Kim, Grace ; Johnson, Jennifer ; Johnson, Perry ; Mechalakos, James G. ; Napolitano, Brian ; Parker, Stephanie ; Schofield, Deborah ; Smith, Koren ; Yorke, Ellen ; Wells, Michelle</creatorcontrib><description>Background
While the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high‐quality care, very few specific recommendations currently exist for this task.
Aims
The goal of TG‐275 is to provide practical, evidence‐based recommendations on physics plan and chart review for radiation therapy. While this report is aimed mainly at medical physicists, others may benefit including dosimetrists, radiation therapists, physicians and other professionals interested in quality management.
Methods
The scope of the report includes photon/electron external beam radiotherapy (EBRT), proton radiotherapy, as well as high‐dose rate (HDR) brachytherapy for gynecological applications (currently the highest volume brachytherapy service in most practices). The following review time points are considered: initial review prior to treatment, weekly review, and end‐of‐treatment review. The Task Group takes a risk‐informed approach to developing recommendations. A failure mode and effects analysis was performed to determine the highest‐risk aspects of each process. In the case of photon/electron EBRT, a survey of all American Association of Physicists in Medicine (AAPM) members was also conducted to determine current practices. A draft of this report was provided to the full AAPM membership for comment through a 3‐week open‐comment period, and the report was revised in response to these comments.
Results
The highest‐risk failure modes included 112 failure modes in photon/electron EBRT initial review, 55 in weekly and end‐of‐treatment review, 24 for initial review specific to proton therapy, and 48 in HDR brachytherapy. A 103‐question survey on current practices was released to all AAPM members who self‐reported as working in the radiation oncology field. The response rate was 33%. The survey data and risk data were used to inform recommendations.
Discussion
Tables of recommended checks are presented and recommendations for best practice are discussed. Suggestions to software vendors are also provided.
Conclusions
TG‐275 provides specific recommendations for physics plan and chart review which should enhance the safety and quality of care for patients receiving radiation treatments.</description><identifier>ISSN: 0094-2405</identifier><identifier>ISSN: 2473-4209</identifier><identifier>EISSN: 2473-4209</identifier><identifier>DOI: 10.1002/mp.14030</identifier><identifier>PMID: 31967655</identifier><language>eng</language><publisher>United States</publisher><subject>Brachytherapy ; Humans ; Photons ; Physics ; plan review ; quality assurance ; Radiation Oncology ; Radiotherapy Planning, Computer-Assisted ; TG275 ; United States</subject><ispartof>Medical physics (Lancaster), 2020-06, Vol.47 (6), p.e236-e272</ispartof><rights>2020 American Association of Physicists in Medicine</rights><rights>2020 American Association of Physicists in Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5240-a3db02813b9867684644e0429cef12c48c42510d2abf4785c2cf230382f0dccd3</citedby><cites>FETCH-LOGICAL-c5240-a3db02813b9867684644e0429cef12c48c42510d2abf4785c2cf230382f0dccd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmp.14030$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmp.14030$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31967655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ford, Eric</creatorcontrib><creatorcontrib>Conroy, Leigh</creatorcontrib><creatorcontrib>Dong, Lei</creatorcontrib><creatorcontrib>Los Santos, Luis Fong</creatorcontrib><creatorcontrib>Greener, Anne</creatorcontrib><creatorcontrib>Gwe‐Ya Kim, Grace</creatorcontrib><creatorcontrib>Johnson, Jennifer</creatorcontrib><creatorcontrib>Johnson, Perry</creatorcontrib><creatorcontrib>Mechalakos, James G.</creatorcontrib><creatorcontrib>Napolitano, Brian</creatorcontrib><creatorcontrib>Parker, Stephanie</creatorcontrib><creatorcontrib>Schofield, Deborah</creatorcontrib><creatorcontrib>Smith, Koren</creatorcontrib><creatorcontrib>Yorke, Ellen</creatorcontrib><creatorcontrib>Wells, Michelle</creatorcontrib><title>Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275</title><title>Medical physics (Lancaster)</title><addtitle>Med Phys</addtitle><description>Background
While the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high‐quality care, very few specific recommendations currently exist for this task.
Aims
The goal of TG‐275 is to provide practical, evidence‐based recommendations on physics plan and chart review for radiation therapy. While this report is aimed mainly at medical physicists, others may benefit including dosimetrists, radiation therapists, physicians and other professionals interested in quality management.
Methods
The scope of the report includes photon/electron external beam radiotherapy (EBRT), proton radiotherapy, as well as high‐dose rate (HDR) brachytherapy for gynecological applications (currently the highest volume brachytherapy service in most practices). The following review time points are considered: initial review prior to treatment, weekly review, and end‐of‐treatment review. The Task Group takes a risk‐informed approach to developing recommendations. A failure mode and effects analysis was performed to determine the highest‐risk aspects of each process. In the case of photon/electron EBRT, a survey of all American Association of Physicists in Medicine (AAPM) members was also conducted to determine current practices. A draft of this report was provided to the full AAPM membership for comment through a 3‐week open‐comment period, and the report was revised in response to these comments.
Results
The highest‐risk failure modes included 112 failure modes in photon/electron EBRT initial review, 55 in weekly and end‐of‐treatment review, 24 for initial review specific to proton therapy, and 48 in HDR brachytherapy. A 103‐question survey on current practices was released to all AAPM members who self‐reported as working in the radiation oncology field. The response rate was 33%. The survey data and risk data were used to inform recommendations.
Discussion
Tables of recommended checks are presented and recommendations for best practice are discussed. Suggestions to software vendors are also provided.
Conclusions
TG‐275 provides specific recommendations for physics plan and chart review which should enhance the safety and quality of care for patients receiving radiation treatments.</description><subject>Brachytherapy</subject><subject>Humans</subject><subject>Photons</subject><subject>Physics</subject><subject>plan review</subject><subject>quality assurance</subject><subject>Radiation Oncology</subject><subject>Radiotherapy Planning, Computer-Assisted</subject><subject>TG275</subject><subject>United States</subject><issn>0094-2405</issn><issn>2473-4209</issn><issn>2473-4209</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOHDEQRa0oUZgQJL4AeZlNk_KrHywijRCQSKAgAmvL4y4zhu62Y_cMmr-nYQhJFqxq4aPjW3UJ2WdwyAD41z4eMgkC3pEZl5UoJIfmPZkBNLLgEtQO-ZTzHQCUQsFHsiNYU1alUjNy92tMZsRbj5m6kCg6h3b0a6RxucneZho7M1AztNQuTRppwrXHB-oHmkzrzejDQMclJhM3R_QKY5iY4Oh8fnlBr02-p2cprCLllfpMPjjTZdx7mbvk5vTk-vh7cf7z7Mfx_LywaspaGNEugNdMLJp6ClnLUkoEyRuLjnErayu5YtBys3CyqpXl1nEBouYOWmtbsUu-bb1xteixtThMK3Y6Jt-btNHBeP3_y-CX-jasdQOMKy4mwZcXQQq_V5hH3ftssZsOgWGVNRdSyKYSVfkXtSnknNC9fsNAP1Wj-6ifq5nQg39jvYJ_upiAYgs8-A43b4r0xeVW-Aj7NJdO</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Ford, Eric</creator><creator>Conroy, Leigh</creator><creator>Dong, Lei</creator><creator>Los Santos, Luis Fong</creator><creator>Greener, Anne</creator><creator>Gwe‐Ya Kim, Grace</creator><creator>Johnson, Jennifer</creator><creator>Johnson, Perry</creator><creator>Mechalakos, James G.</creator><creator>Napolitano, Brian</creator><creator>Parker, Stephanie</creator><creator>Schofield, Deborah</creator><creator>Smith, Koren</creator><creator>Yorke, Ellen</creator><creator>Wells, Michelle</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202006</creationdate><title>Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275</title><author>Ford, Eric ; Conroy, Leigh ; Dong, Lei ; Los Santos, Luis Fong ; Greener, Anne ; Gwe‐Ya Kim, Grace ; Johnson, Jennifer ; Johnson, Perry ; Mechalakos, James G. ; Napolitano, Brian ; Parker, Stephanie ; Schofield, Deborah ; Smith, Koren ; Yorke, Ellen ; Wells, Michelle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5240-a3db02813b9867684644e0429cef12c48c42510d2abf4785c2cf230382f0dccd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Brachytherapy</topic><topic>Humans</topic><topic>Photons</topic><topic>Physics</topic><topic>plan review</topic><topic>quality assurance</topic><topic>Radiation Oncology</topic><topic>Radiotherapy Planning, Computer-Assisted</topic><topic>TG275</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ford, Eric</creatorcontrib><creatorcontrib>Conroy, Leigh</creatorcontrib><creatorcontrib>Dong, Lei</creatorcontrib><creatorcontrib>Los Santos, Luis Fong</creatorcontrib><creatorcontrib>Greener, Anne</creatorcontrib><creatorcontrib>Gwe‐Ya Kim, Grace</creatorcontrib><creatorcontrib>Johnson, Jennifer</creatorcontrib><creatorcontrib>Johnson, Perry</creatorcontrib><creatorcontrib>Mechalakos, James G.</creatorcontrib><creatorcontrib>Napolitano, Brian</creatorcontrib><creatorcontrib>Parker, Stephanie</creatorcontrib><creatorcontrib>Schofield, Deborah</creatorcontrib><creatorcontrib>Smith, Koren</creatorcontrib><creatorcontrib>Yorke, Ellen</creatorcontrib><creatorcontrib>Wells, Michelle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical physics (Lancaster)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ford, Eric</au><au>Conroy, Leigh</au><au>Dong, Lei</au><au>Los Santos, Luis Fong</au><au>Greener, Anne</au><au>Gwe‐Ya Kim, Grace</au><au>Johnson, Jennifer</au><au>Johnson, Perry</au><au>Mechalakos, James G.</au><au>Napolitano, Brian</au><au>Parker, Stephanie</au><au>Schofield, Deborah</au><au>Smith, Koren</au><au>Yorke, Ellen</au><au>Wells, Michelle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2020-06</date><risdate>2020</risdate><volume>47</volume><issue>6</issue><spage>e236</spage><epage>e272</epage><pages>e236-e272</pages><issn>0094-2405</issn><issn>2473-4209</issn><eissn>2473-4209</eissn><abstract>Background
While the review of radiotherapy treatment plans and charts by a medical physicist is a key component of safe, high‐quality care, very few specific recommendations currently exist for this task.
Aims
The goal of TG‐275 is to provide practical, evidence‐based recommendations on physics plan and chart review for radiation therapy. While this report is aimed mainly at medical physicists, others may benefit including dosimetrists, radiation therapists, physicians and other professionals interested in quality management.
Methods
The scope of the report includes photon/electron external beam radiotherapy (EBRT), proton radiotherapy, as well as high‐dose rate (HDR) brachytherapy for gynecological applications (currently the highest volume brachytherapy service in most practices). The following review time points are considered: initial review prior to treatment, weekly review, and end‐of‐treatment review. The Task Group takes a risk‐informed approach to developing recommendations. A failure mode and effects analysis was performed to determine the highest‐risk aspects of each process. In the case of photon/electron EBRT, a survey of all American Association of Physicists in Medicine (AAPM) members was also conducted to determine current practices. A draft of this report was provided to the full AAPM membership for comment through a 3‐week open‐comment period, and the report was revised in response to these comments.
Results
The highest‐risk failure modes included 112 failure modes in photon/electron EBRT initial review, 55 in weekly and end‐of‐treatment review, 24 for initial review specific to proton therapy, and 48 in HDR brachytherapy. A 103‐question survey on current practices was released to all AAPM members who self‐reported as working in the radiation oncology field. The response rate was 33%. The survey data and risk data were used to inform recommendations.
Discussion
Tables of recommended checks are presented and recommendations for best practice are discussed. Suggestions to software vendors are also provided.
Conclusions
TG‐275 provides specific recommendations for physics plan and chart review which should enhance the safety and quality of care for patients receiving radiation treatments.</abstract><cop>United States</cop><pmid>31967655</pmid><doi>10.1002/mp.14030</doi><tpages>37</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley-Blackwell Full Collection; Alma/SFX Local Collection |
| subjects | Brachytherapy Humans Photons Physics plan review quality assurance Radiation Oncology Radiotherapy Planning, Computer-Assisted TG275 United States |
| title | Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275 |
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