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The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management

Overview of attention for article published in Medical Physics, June 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)
  • High Attention Score compared to outputs of the same age and source (97th percentile)

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1 policy source
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14 X users
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Citations

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542 Mendeley
Title
The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management
Published in
Medical Physics, June 2016
DOI 10.1118/1.4947547
Pubmed ID
Authors

M Saiful Huq, Benedick A Fraass, Peter B Dunscombe, John P Gibbons, Geoffrey S Ibbott, Arno J Mundt, Sasa Mutic, Jatinder R Palta, Frank Rath, Bruce R Thomadsen, Jeffrey F Williamson, Ellen D Yorke

Abstract

The increasing complexity of modern radiation therapy planning and delivery challenges traditional prescriptive quality management (QM) methods, such as many of those included in guidelines published by organizations such as the AAPM, ASTRO, ACR, ESTRO, and IAEA. These prescriptive guidelines have traditionally focused on monitoring all aspects of the functional performance of radiotherapy (RT) equipment by comparing parameters against tolerances set at strict but achievable values. Many errors that occur in radiation oncology are not due to failures in devices and software; rather they are failures in workflow and process. A systematic understanding of the likelihood and clinical impact of possible failures throughout a course of radiotherapy is needed to direct limit QM resources efficiently to produce maximum safety and quality of patient care. Task Group 100 of the AAPM has taken a broad view of these issues and has developed a framework for designing QM activities, based on estimates of the probability of identified failures and their clinical outcome through the RT planning and delivery process. The Task Group has chosen a specific radiotherapy process required for "intensity modulated radiation therapy (IMRT)" as a case study. The goal of this work is to apply modern risk-based analysis techniques to this complex RT process in order to demonstrate to the RT community that such techniques may help identify more effective and efficient ways to enhance the safety and quality of our treatment processes. The task group generated by consensus an example quality management program strategy for the IMRT process performed at the institution of one of the authors. This report describes the methodology and nomenclature developed, presents the process maps, FMEAs, fault trees, and QM programs developed, and makes suggestions on how this information could be used in the clinic. The development and implementation of risk-assessment techniques will make radiation therapy safer and more efficient.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 542 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Finland 1 <1%
United Kingdom 1 <1%
Spain 1 <1%
Unknown 539 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 79 15%
Student > Master 69 13%
Other 65 12%
Student > Ph. D. Student 65 12%
Professor > Associate Professor 24 4%
Other 94 17%
Unknown 146 27%
Readers by discipline Count As %
Physics and Astronomy 162 30%
Medicine and Dentistry 95 18%
Engineering 28 5%
Nursing and Health Professions 27 5%
Business, Management and Accounting 12 2%
Other 36 7%
Unknown 182 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 March 2021.
All research outputs
#2,941,814
of 25,292,646 outputs
Outputs from Medical Physics
#268
of 7,977 outputs
Outputs of similar age
#50,384
of 361,128 outputs
Outputs of similar age from Medical Physics
#10
of 309 outputs
Altmetric has tracked 25,292,646 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,977 research outputs from this source. They receive a mean Attention Score of 3.5. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,128 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 309 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.