Articles producció científica> Ciències Mèdiques Bàsiques

Plan quality assessment in clinical practice: Results of the 2020 ESTRO survey on plan complexity and robustness

  • Dades identificatives

    Identificador: imarina:9334302
    Autors:
    Kaplan, LPPlacidi, LBäck, ACanters, RHussein, MVaniqui, AFusella, MPiotrowski, THernandez, VJornet, NHansen, CRWidesott, L
    Resum:
    Purpose: Plan complexity and robustness are two essential aspects of treatment plan quality but there is a great variability in their management in clinical practice. This study reports the results of the 2020 ESTRO survey on plan complexity and robustness to identify needs and guide future discussions and con-sensus.Methods: A survey was distributed online to ESTRO members. Plan complexity was defined as the mod-ulation of machine parameters and increased uncertainty in dose calculation and delivery. Robustness was defined as a dose distribution's sensitivity towards errors stemming from treatment uncertainties, patient setup, or anatomical changes.Results: A total of 126 radiotherapy centres from 33 countries participated, 95 of them (75%) from Europe and Central Asia. The majority controlled and evaluated plan complexity using monitor units (56 centres) and aperture shapes (38 centres). To control robustness, 98 (97% of question responses) photon and 5 (50%) proton centres used PTV margins for plan optimization while 75 (94%) and 5 (50%), respectively, used margins for plan evaluation. Seventeen (21%) photon and 8 (80%) proton centres used robust opti-misation, while 10 (13%) and 8 (80%), respectively, used robust evaluation. Primary uncertainties consid-ered were patient setup (photons and protons) and range calculation uncertainties (protons). Participants expressed the need for improved commercial tools to control and evaluate plan complexity and robust-ness.Conclusion: Clinical implementation of methods to control and evaluate plan complexity and robustness is very heterogeneous. Better tools are needed to manage complexity and robustness in treatment plan-ning systems. International guidelines may promote harmonization.(c) 2022 The Authors. Published by Elsevier
  • Altres:

    Autor segons l'article: Kaplan, LP; Placidi, L; Bäck, A; Canters, R; Hussein, M; Vaniqui, A; Fusella, M; Piotrowski, T; Hernandez, V; Jornet, N; Hansen, CR; Widesott, L
    Departament: Ciències Mèdiques Bàsiques
    Autor/s de la URV: Hernandez Masgrau, Victor
    Paraules clau: Risk Range uncertainties Radiotherapy, intensity-modulated Radiotherapy planning, computer-assisted Radiotherapy dosage Radiotherapy Radiation-therapy Protons Proton therapy Plan robustness Plan quality Plan complexity Optimization Modulation Metrics Margins International survey Imrt Humans Coverage
    Resum: Purpose: Plan complexity and robustness are two essential aspects of treatment plan quality but there is a great variability in their management in clinical practice. This study reports the results of the 2020 ESTRO survey on plan complexity and robustness to identify needs and guide future discussions and con-sensus.Methods: A survey was distributed online to ESTRO members. Plan complexity was defined as the mod-ulation of machine parameters and increased uncertainty in dose calculation and delivery. Robustness was defined as a dose distribution's sensitivity towards errors stemming from treatment uncertainties, patient setup, or anatomical changes.Results: A total of 126 radiotherapy centres from 33 countries participated, 95 of them (75%) from Europe and Central Asia. The majority controlled and evaluated plan complexity using monitor units (56 centres) and aperture shapes (38 centres). To control robustness, 98 (97% of question responses) photon and 5 (50%) proton centres used PTV margins for plan optimization while 75 (94%) and 5 (50%), respectively, used margins for plan evaluation. Seventeen (21%) photon and 8 (80%) proton centres used robust opti-misation, while 10 (13%) and 8 (80%), respectively, used robust evaluation. Primary uncertainties consid-ered were patient setup (photons and protons) and range calculation uncertainties (protons). Participants expressed the need for improved commercial tools to control and evaluate plan complexity and robust-ness.Conclusion: Clinical implementation of methods to control and evaluate plan complexity and robustness is very heterogeneous. Better tools are needed to manage complexity and robustness in treatment plan-ning systems. International guidelines may promote harmonization.(c) 2022 The Authors. Published by Elsevier B.V. Radiotherapy and Oncology 173 (2022) 254-261 This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
    Àrees temàtiques: Saúde coletiva Radiology, nuclear medicine and imaging Radiology, nuclear medicine & medical imaging Oncology Odontología Medicina ii Medicina i Interdisciplinar Hematology General medicine Engenharias iv Engenharias ii Ciências biológicas ii Ciências biológicas i Astronomia / física
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: victor.hernandez@urv.cat
    Identificador de l'autor: 0000-0003-3770-8486
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.thegreenjournal.com/article/S0167-8140(22)04150-0/fulltext
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Radiotherapy And Oncology. 173 254-261
    Referència de l'ítem segons les normes APA: Kaplan, LP; Placidi, L; Bäck, A; Canters, R; Hussein, M; Vaniqui, A; Fusella, M; Piotrowski, T; Hernandez, V; Jornet, N; Hansen, CR; Widesott, L (2022). Plan quality assessment in clinical practice: Results of the 2020 ESTRO survey on plan complexity and robustness. Radiotherapy And Oncology, 173(), 254-261. DOI: 10.1016/j.radonc.2022.06.005
    DOI de l'article: 10.1016/j.radonc.2022.06.005
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2022
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Hematology,Oncology,Radiology, Nuclear Medicine & Medical Imaging,Radiology, Nuclear Medicine and Imaging
    Risk
    Range uncertainties
    Radiotherapy, intensity-modulated
    Radiotherapy planning, computer-assisted
    Radiotherapy dosage
    Radiotherapy
    Radiation-therapy
    Protons
    Proton therapy
    Plan robustness
    Plan quality
    Plan complexity
    Optimization
    Modulation
    Metrics
    Margins
    International survey
    Imrt
    Humans
    Coverage
    Saúde coletiva
    Radiology, nuclear medicine and imaging
    Radiology, nuclear medicine & medical imaging
    Oncology
    Odontología
    Medicina ii
    Medicina i
    Interdisciplinar
    Hematology
    General medicine
    Engenharias iv
    Engenharias ii
    Ciências biológicas ii
    Ciências biológicas i
    Astronomia / física
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