Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy
Abstract Background and purpose Treatment record contains most of information related to treatment plan delivery in radiation therapy. Reviewing treatment record is an important quality assurance (QA) task for safety and quality of patient treatments. This task is usually performed by senior medical...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Radiation Oncology |
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| Online Access: | https://doi.org/10.1186/s13014-024-02582-8 |
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| author | Peng Huang Yingjie Xu Fukui Huan Yanxin Zhang Min Ma Kuo Men Jianrong Dai |
| author_facet | Peng Huang Yingjie Xu Fukui Huan Yanxin Zhang Min Ma Kuo Men Jianrong Dai |
| author_sort | Peng Huang |
| collection | DOAJ |
| description | Abstract Background and purpose Treatment record contains most of information related to treatment plan delivery in radiation therapy. Reviewing treatment record is an important quality assurance (QA) task for safety and quality of patient treatments. This task is usually performed by senior medical physicists. However, it is time-consuming, tedious, and error-prone. To assist this process, a treatment record review system (TRRS) is developed to automatically review items related to treatment delivery record. Methods The treatment record is firstly extracted from oncology information system (OIS). Based on the daily patient treatment information, the original plan from the treatment planning system is identified. Then the original plan and the delivered plan are correlated. Eight review categories (parameter consistency, treatment completeness, treatment progression, image guidance, override, treatment couch, documentation, and treatment mode) are created. Tailored rules are designed for various review items to automate the review process. As a result, for each daily treatment record, a reviewed flag (pass, failure, warning, and N/A) is assigned by the TRRS. Finally, this system is evaluated by 6 months patient treatment records collected in our institute and compared to the manual process on the same data. Results TRRS processed a total of 76,651 treatment fractions from 4230 patients with an average of 574 treatments per day. The percentage of the detected anomalies among the total records was 0.76%. The average processing time was 3.9 s and 282 s per treatment record for the automatic and manual processes, respectively. Comparing with the manual process, the time efficiency of TRRS is improved by a factor of 72. The average numbers of anomalies detected by the automatic and manual processes are 21 and 13 per day, respectively. TRRS detects 61.5% more anomalies than those of the manual process. Conclusion TRRS is not only efficient in processing a large amount of treatment records on a daily basis but also effective in finding more anomalies than those of physics weekly check. The application of the TRRS could significantly reduce the workload of the review physicists and let them focus on more important works related to patient safety. |
| format | Article |
| id | doaj-art-4a1e06682fb34171bda7253236bafae5 |
| institution | Kabale University |
| issn | 1748-717X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Radiation Oncology |
| spelling | doaj-art-4a1e06682fb34171bda7253236bafae52025-01-19T12:33:54ZengBMCRadiation Oncology1748-717X2025-01-0120111010.1186/s13014-024-02582-8Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapyPeng Huang0Yingjie Xu1Fukui Huan2Yanxin Zhang3Min Ma4Kuo Men5Jianrong Dai6Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract Background and purpose Treatment record contains most of information related to treatment plan delivery in radiation therapy. Reviewing treatment record is an important quality assurance (QA) task for safety and quality of patient treatments. This task is usually performed by senior medical physicists. However, it is time-consuming, tedious, and error-prone. To assist this process, a treatment record review system (TRRS) is developed to automatically review items related to treatment delivery record. Methods The treatment record is firstly extracted from oncology information system (OIS). Based on the daily patient treatment information, the original plan from the treatment planning system is identified. Then the original plan and the delivered plan are correlated. Eight review categories (parameter consistency, treatment completeness, treatment progression, image guidance, override, treatment couch, documentation, and treatment mode) are created. Tailored rules are designed for various review items to automate the review process. As a result, for each daily treatment record, a reviewed flag (pass, failure, warning, and N/A) is assigned by the TRRS. Finally, this system is evaluated by 6 months patient treatment records collected in our institute and compared to the manual process on the same data. Results TRRS processed a total of 76,651 treatment fractions from 4230 patients with an average of 574 treatments per day. The percentage of the detected anomalies among the total records was 0.76%. The average processing time was 3.9 s and 282 s per treatment record for the automatic and manual processes, respectively. Comparing with the manual process, the time efficiency of TRRS is improved by a factor of 72. The average numbers of anomalies detected by the automatic and manual processes are 21 and 13 per day, respectively. TRRS detects 61.5% more anomalies than those of the manual process. Conclusion TRRS is not only efficient in processing a large amount of treatment records on a daily basis but also effective in finding more anomalies than those of physics weekly check. The application of the TRRS could significantly reduce the workload of the review physicists and let them focus on more important works related to patient safety.https://doi.org/10.1186/s13014-024-02582-8Treatment recordPlan deliveryRadiation therapyReviewAnomaly |
| spellingShingle | Peng Huang Yingjie Xu Fukui Huan Yanxin Zhang Min Ma Kuo Men Jianrong Dai Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy Radiation Oncology Treatment record Plan delivery Radiation therapy Review Anomaly |
| title | Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| title_full | Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| title_fullStr | Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| title_full_unstemmed | Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| title_short | Developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| title_sort | developing an automatic treatment record review system for quality assurance of patient treatment delivery in radiation therapy |
| topic | Treatment record Plan delivery Radiation therapy Review Anomaly |
| url | https://doi.org/10.1186/s13014-024-02582-8 |
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