Toward automation of initial chart check for photon/electron EBRT: the clinical implementation of new AAPM task group reports and automation techniques
JournalJournal of Applied Clinical Medical Physics
PublisherJohn Wiley and Sons Ltd
MetadataShow full item record
AbstractPurpose: The recently published AAPM TG-275 and the public review version of TG-315 list new recommendations for comprehensive and minimum physics initial chart checks, respectively. This article addresses the potential development and benefit of initial chart check automation when these recommendations are implemented for clinical photon/electron EBRT. Methods: Eight board-certified physicists with 2-20 years of clinical experience performed initial chart checks using checklists from TG-275 and TG-315. Manual check times were estimated for three types of plans (IMRT/VMAT, 3D, and 2D) and for prostate, whole pelvis, lung, breast, head and neck, and brain cancers. An expert development team of three physicists re-evaluated the automation feasibility of TG-275 checklist based on their experience of developing and implementing the in-house and the commercial automation tools in our institution. Three levels of initial chart check automation were simulated: (1) Auto_UMMS_tool (which consists of in-house program and commercially available software); (2) Auto_TG275 (with full and partial automation as indicated in TG-275); and (3) Auto_UMMS_exp (with full and partial automation as determined by our experts' re-evaluation). Results: With no automation of initial chart checks, the ranges of manual check times were 29-56 min (full TG-315 list) and 102-163 min (full TG-275 list), which varied significantly with physicists but varied little at different tumor sites. The 69 of 71 checks which were considered as "not fully automated" in TG-275 were re-evaluated with more automation feasibility. Compared to no automation, the higher levels of automation yielded a great reduction in both manual check times (by 44%-98%) and potentially residual detectable errors (by 15-85%). Conclusion: The initial chart check automation greatly improves the practicality and efficiency of implementing the new TG recommendations. Revisiting the TG reports with new technology/practice updates may help develop and utilize more automation clinically. Copyright 2021 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/15198
- Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275.
- Authors: Ford E, Conroy L, Dong L, de Los Santos LF, Greener A, Gwe-Ya Kim G, Johnson J, Johnson P, Mechalakos JG, Napolitano B, Parker S, Schofield D, Smith K, Yorke E, Wells M
- Issue date: 2020 Jun
- Optimizing efficiency and safety in external beam radiotherapy using automated plan check (APC) tool and six sigma methodology.
- Authors: Liu S, Bush KK, Bertini J, Fu Y, Lewis JM, Pham DJ, Yang Y, Niedermayr TR, Skinner L, Xing L, Beadle BM, Hsu A, Kovalchuk N
- Issue date: 2019 Aug
- Software tool for physics chart checks.
- Authors: Li HH, Wu Y, Yang D, Mutic S
- Issue date: 2014 Nov-Dec
- Recommendations for clinical electron beam dosimetry: supplement to the recommendations of Task Group 25.
- Authors: Gerbi BJ, Antolak JA, Deibel FC, Followill DS, Herman MG, Higgins PD, Huq MS, Mihailidis DN, Yorke ED, Hogstrom KR, Khan FM
- Issue date: 2009 Jul
- AAPM task group 224: Comprehensive proton therapy machine quality assurance.
- Authors: Arjomandy B, Taylor P, Ainsley C, Safai S, Sahoo N, Pankuch M, Farr JB, Yong Park S, Klein E, Flanz J, Yorke ED, Followill D, Kase Y
- Issue date: 2019 Aug