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Title: SU-F-T-226: QA Management for a Large Institution with Multiple Campuses for FMEA

Abstract

Purpose: To redesign our radiation therapy QA program with the goal to improve quality, efficiency, and consistency among a growing number of campuses at a large institution. Methods: A QA committee was established with at least one physicist representing each of our six campuses (22 linacs). Weekly meetings were scheduled to advise on and update current procedures, to review end-to-end and other test results, and to prepare composite reports for internal and external audits. QA procedures for treatment and imaging equipment were derived from TG Reports 142 and 66, practice guidelines, and feedback from ACR evaluations. The committee focused on reaching a consensus on a single QA program among all campuses using the same type of equipment and reference data. Since the recommendations for tolerances referenced to baseline data were subject to interpretation in some instances, the committee reviewed the characteristics of all machines and quantified any variations before choosing between treatment planning system (i.e. treatment planning system commissioning data that is representative for all machines) or machine-specific values (i.e. commissioning data of the individual machines) as baseline data. Results: The configured QA program will be followed strictly by all campuses. Inventory of available equipment has been compiled, and additionalmore » equipment acquisitions for the QA program are made as needed. Dosimetric characteristics are evaluated for all machines using the same methods to ensure consistency of beam data where possible. In most cases, baseline data refer to treatment planning system commissioning data but machine-specific values are used as reference where it is deemed appropriate. Conclusion: With a uniform QA scheme, variations in QA procedures are kept to a minimum. With a centralized database, data collection and analysis are simplified. This program will facilitate uniformity in patient treatments and analysis of large amounts of QA data campus-wide, which will ultimately facilitate FMEA.« less

Authors:
; ; ; ; ; ; ; ; ; ; ; ; ; ;  [1]
  1. Memorial Sloan Kettering Cancer Center, New York, NY (United States)
Publication Date:
OSTI Identifier:
22648843
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 43; Journal Issue: 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
43 PARTICLE ACCELERATORS; 60 APPLIED LIFE SCIENCES; BIOMEDICAL RADIOGRAPHY; COMMISSIONING; EQUIPMENT; LINEAR ACCELERATORS; PLANNING; QUALITY ASSURANCE

Citation Formats

Tang, G, Chan, M, Lovelock, D, Lim, S, Febo, R, DeLauter, J, Both, S, Li, X, Ma, R, Saleh, Z, Song, Y, Tang, X, Xiong, W, Hunt, M, and LoSasso, T. SU-F-T-226: QA Management for a Large Institution with Multiple Campuses for FMEA. United States: N. p., 2016. Web. doi:10.1118/1.4956365.
Tang, G, Chan, M, Lovelock, D, Lim, S, Febo, R, DeLauter, J, Both, S, Li, X, Ma, R, Saleh, Z, Song, Y, Tang, X, Xiong, W, Hunt, M, & LoSasso, T. SU-F-T-226: QA Management for a Large Institution with Multiple Campuses for FMEA. United States. doi:10.1118/1.4956365.
Tang, G, Chan, M, Lovelock, D, Lim, S, Febo, R, DeLauter, J, Both, S, Li, X, Ma, R, Saleh, Z, Song, Y, Tang, X, Xiong, W, Hunt, M, and LoSasso, T. Wed . "SU-F-T-226: QA Management for a Large Institution with Multiple Campuses for FMEA". United States. doi:10.1118/1.4956365.
@article{osti_22648843,
title = {SU-F-T-226: QA Management for a Large Institution with Multiple Campuses for FMEA},
author = {Tang, G and Chan, M and Lovelock, D and Lim, S and Febo, R and DeLauter, J and Both, S and Li, X and Ma, R and Saleh, Z and Song, Y and Tang, X and Xiong, W and Hunt, M and LoSasso, T},
abstractNote = {Purpose: To redesign our radiation therapy QA program with the goal to improve quality, efficiency, and consistency among a growing number of campuses at a large institution. Methods: A QA committee was established with at least one physicist representing each of our six campuses (22 linacs). Weekly meetings were scheduled to advise on and update current procedures, to review end-to-end and other test results, and to prepare composite reports for internal and external audits. QA procedures for treatment and imaging equipment were derived from TG Reports 142 and 66, practice guidelines, and feedback from ACR evaluations. The committee focused on reaching a consensus on a single QA program among all campuses using the same type of equipment and reference data. Since the recommendations for tolerances referenced to baseline data were subject to interpretation in some instances, the committee reviewed the characteristics of all machines and quantified any variations before choosing between treatment planning system (i.e. treatment planning system commissioning data that is representative for all machines) or machine-specific values (i.e. commissioning data of the individual machines) as baseline data. Results: The configured QA program will be followed strictly by all campuses. Inventory of available equipment has been compiled, and additional equipment acquisitions for the QA program are made as needed. Dosimetric characteristics are evaluated for all machines using the same methods to ensure consistency of beam data where possible. In most cases, baseline data refer to treatment planning system commissioning data but machine-specific values are used as reference where it is deemed appropriate. Conclusion: With a uniform QA scheme, variations in QA procedures are kept to a minimum. With a centralized database, data collection and analysis are simplified. This program will facilitate uniformity in patient treatments and analysis of large amounts of QA data campus-wide, which will ultimately facilitate FMEA.},
doi = {10.1118/1.4956365},
journal = {Medical Physics},
number = 6,
volume = 43,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}