Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology
Purpose: Radiation treatment plans undergo peer review during chart rounds, but changes to treatment volumes would require replanning. Our group implemented weekly head and neck cancer “volume rounds” to peer review all target volumes for head and neck cancer before radiation therapy (RT) planning a...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Advances in Radiation Oncology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2452109422000240 |
| _version_ | 1818245141886926848 |
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| author | Jennifer Hesse, BS Linda Chen, MD Yao Yu, MD Jung Julie Kang, MD, PhD Nadeem Riaz, MD, MSc C. Jillian Tsai, MD, PhD Sean M. McBride, MD, MPH Daphna Gelblum, MD Kaveh Zakeri, MD, MAS Nancy Y. Lee, MD, FASTRO |
| author_facet | Jennifer Hesse, BS Linda Chen, MD Yao Yu, MD Jung Julie Kang, MD, PhD Nadeem Riaz, MD, MSc C. Jillian Tsai, MD, PhD Sean M. McBride, MD, MPH Daphna Gelblum, MD Kaveh Zakeri, MD, MAS Nancy Y. Lee, MD, FASTRO |
| author_sort | Jennifer Hesse, BS |
| collection | DOAJ |
| description | Purpose: Radiation treatment plans undergo peer review during chart rounds, but changes to treatment volumes would require replanning. Our group implemented weekly head and neck cancer “volume rounds” to peer review all target volumes for head and neck cancer before radiation therapy (RT) planning and chart rounds. Methods and Materials: We analyzed modifications made to planning target volumes (PTVs) at volume rounds for consecutive nonproton head and neck cancer cases from May 2020 to May 2021. Nine head and neck radiation oncologists participated in weekly volume rounds during this time. Recommendations were categorized as no changes, minor changes, major changes, additional workup (eg, biopsy or imaging), and consultation or tumor board discussion needed before the start of RT. Minor changes to PTVs generally did not require a second review before treatment planning while major changes did. Results: PTVs for 511 cases involving 432 patients underwent peer review and 298 (58.3%) of these cases did not require any modifications before treatment planning. Minor and major changes were recommended in 75 (14.7%) and 86 (16.8%) cases, respectively. Forty-five (8.8%) cases were recommended to have additional workup and 23 (4.5%) required additional consultation with nonradiation surgeons or medical oncologists. Of the 45 cases that were recommended for additional workup, 40 underwent biopsy or imaging. Positive findings on imaging or biopsy occurred in 13 patients, leading to a significant change in management, including 4 patients who underwent additional surgery after positive findings before the start of RT. Conclusions: Prospective peer review during head and neck cancer volume rounds led to frequent minor and major alterations to PTVs. Significant changes in the overall treatment plan, such as additional surgery before start of RT, occurred in a minority of patients. |
| first_indexed | 2024-12-12T14:28:12Z |
| format | Article |
| id | doaj.art-9daaaf2e757145cc90ae98f63c4bace0 |
| institution | Directory Open Access Journal |
| issn | 2452-1094 |
| language | English |
| last_indexed | 2024-12-12T14:28:12Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Radiation Oncology |
| spelling | doaj.art-9daaaf2e757145cc90ae98f63c4bace02022-12-22T00:21:38ZengElsevierAdvances in Radiation Oncology2452-10942022-05-0173100917Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation OncologyJennifer Hesse, BS0Linda Chen, MD1Yao Yu, MD2Jung Julie Kang, MD, PhD3Nadeem Riaz, MD, MSc4C. Jillian Tsai, MD, PhD5Sean M. McBride, MD, MPH6Daphna Gelblum, MD7Kaveh Zakeri, MD, MAS8Nancy Y. Lee, MD, FASTRO9Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYCorresponding author: Nancy Y. Lee, MD, FASTRO; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NYPurpose: Radiation treatment plans undergo peer review during chart rounds, but changes to treatment volumes would require replanning. Our group implemented weekly head and neck cancer “volume rounds” to peer review all target volumes for head and neck cancer before radiation therapy (RT) planning and chart rounds. Methods and Materials: We analyzed modifications made to planning target volumes (PTVs) at volume rounds for consecutive nonproton head and neck cancer cases from May 2020 to May 2021. Nine head and neck radiation oncologists participated in weekly volume rounds during this time. Recommendations were categorized as no changes, minor changes, major changes, additional workup (eg, biopsy or imaging), and consultation or tumor board discussion needed before the start of RT. Minor changes to PTVs generally did not require a second review before treatment planning while major changes did. Results: PTVs for 511 cases involving 432 patients underwent peer review and 298 (58.3%) of these cases did not require any modifications before treatment planning. Minor and major changes were recommended in 75 (14.7%) and 86 (16.8%) cases, respectively. Forty-five (8.8%) cases were recommended to have additional workup and 23 (4.5%) required additional consultation with nonradiation surgeons or medical oncologists. Of the 45 cases that were recommended for additional workup, 40 underwent biopsy or imaging. Positive findings on imaging or biopsy occurred in 13 patients, leading to a significant change in management, including 4 patients who underwent additional surgery after positive findings before the start of RT. Conclusions: Prospective peer review during head and neck cancer volume rounds led to frequent minor and major alterations to PTVs. Significant changes in the overall treatment plan, such as additional surgery before start of RT, occurred in a minority of patients.http://www.sciencedirect.com/science/article/pii/S2452109422000240 |
| spellingShingle | Jennifer Hesse, BS Linda Chen, MD Yao Yu, MD Jung Julie Kang, MD, PhD Nadeem Riaz, MD, MSc C. Jillian Tsai, MD, PhD Sean M. McBride, MD, MPH Daphna Gelblum, MD Kaveh Zakeri, MD, MAS Nancy Y. Lee, MD, FASTRO Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology Advances in Radiation Oncology |
| title | Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology |
| title_full | Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology |
| title_fullStr | Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology |
| title_full_unstemmed | Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology |
| title_short | Peer Review of Head and Neck Cancer Planning Target Volumes in Radiation Oncology |
| title_sort | peer review of head and neck cancer planning target volumes in radiation oncology |
| url | http://www.sciencedirect.com/science/article/pii/S2452109422000240 |
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