دورية أكاديمية
Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow.
| العنوان: | Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow. |
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| المؤلفون: | Liang J; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Scripes PG; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Tyagi N; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Subashi E; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Wunner T; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Cote N; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Chan CY; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Ng A; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Brennan V; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Zakeri K; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Wildberger C; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Mechalakos J; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. |
| المصدر: | Journal of applied clinical medical physics [J Appl Clin Med Phys] 2023 Mar; Vol. 24 (3), pp. e13850. Date of Electronic Publication: 2022 Nov 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley on behalf of American Association of Physicists in Medicine Country of Publication: United States NLM ID: 101089176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-9914 (Electronic) Linking ISSN: 15269914 NLM ISO Abbreviation: J Appl Clin Med Phys Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Malden, MA : Wiley on behalf of American Association of Physicists in Medicine Original Publication: Reston, VA : American College of Medical Physics, c2000- |
| مواضيع طبية MeSH: | Adenosine Triphosphate*, Humans ; Workflow ; Prospective Studies ; Risk Assessment |
| مستخلص: | Background and Purpose: Newer technologies allow for daily treatment adaptation, providing the ability to account for setup variations and organ motion but comes at the cost of increasing the treatment workflow complexity. One such technology is the adapt-to-position (ATP) workflow on the Unity MR-Linac. Prospective risk assessment of a new workflow allows clinics to catch errors before they occur, especially for processes that include novel and unfamiliar steps. Methods: As part of a quality management program, failure modes and effects analysis was performed on the ATP treatment workflow following the recommendations of AAPM's Task Group 100. A multidisciplinary team was formed to identify and evaluate failure modes for all the steps taken during a daily treatment workflow. Failure modes of high severity and overall score were isolated and addressed. Results: Mitigations were determined for high-ranking failure modes and implemented into the clinic. High-ranking failure modes existed in all steps of the workflow. Failure modes were then rescored to evaluate the effectiveness of the mitigations. Conclusion: Failure modes and effects analysis on the Unity MR-Linac highlighted areas in the ATP workflow that could be prone to failures and allowed our clinic to change the process to be more robust. (© 2022 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, LLC on behalf of The American Association of Physicists in Medicine.) |
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| معلومات مُعتمدة: | P30 CA008748 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: ATP; FMEA; MR-Linac; MR-guided radiation therapy; adapt to position; failure modes and effects analysis |
| المشرفين على المادة: | 8L70Q75FXE (Adenosine Triphosphate) |
| تواريخ الأحداث: | Date Created: 20221122 Date Completed: 20230320 Latest Revision: 20230510 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10018675 |
| DOI: | 10.1002/acm2.13850 |
| PMID: | 36411990 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1526-9914 |
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| DOI: | 10.1002/acm2.13850 |