Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.

The purpose of this study was to retrospectively evaluate the results from a Helical TomoTherapy Hi-Art treatment system relating to quality controls based on daily static and dynamic output checks using statistical process control methods. Individual value X-charts, exponentially weighted moving av...

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Main Authors: Emilio Mezzenga, Vincenzo D'Errico, Anna Sarnelli, Lidia Strigari, Enrico Menghi, Francesco Marcocci, David Bianchini, Marcello Benassi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4746057?pdf=render
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author Emilio Mezzenga
Vincenzo D'Errico
Anna Sarnelli
Lidia Strigari
Enrico Menghi
Francesco Marcocci
David Bianchini
Marcello Benassi
author_facet Emilio Mezzenga
Vincenzo D'Errico
Anna Sarnelli
Lidia Strigari
Enrico Menghi
Francesco Marcocci
David Bianchini
Marcello Benassi
author_sort Emilio Mezzenga
collection DOAJ
description The purpose of this study was to retrospectively evaluate the results from a Helical TomoTherapy Hi-Art treatment system relating to quality controls based on daily static and dynamic output checks using statistical process control methods. Individual value X-charts, exponentially weighted moving average charts, and process capability and acceptability indices were used to monitor the treatment system performance. Daily output values measured from January 2014 to January 2015 were considered. The results obtained showed that, although the process was in control, there was an out-of-control situation in the principal maintenance intervention for the treatment system. In particular, process capability indices showed a decreasing percentage of points in control which was, however, acceptable according to AAPM TG148 guidelines. Our findings underline the importance of restricting the acceptable range of daily output checks and suggest a future line of investigation for a detailed process control of daily output checks for the Helical TomoTherapy Hi-Art treatment system.
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spelling doaj.art-dbc1c41379934023b4a9a05524db83832022-12-22T01:33:53ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01112e014793610.1371/journal.pone.0147936Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.Emilio MezzengaVincenzo D'ErricoAnna SarnelliLidia StrigariEnrico MenghiFrancesco MarcocciDavid BianchiniMarcello BenassiThe purpose of this study was to retrospectively evaluate the results from a Helical TomoTherapy Hi-Art treatment system relating to quality controls based on daily static and dynamic output checks using statistical process control methods. Individual value X-charts, exponentially weighted moving average charts, and process capability and acceptability indices were used to monitor the treatment system performance. Daily output values measured from January 2014 to January 2015 were considered. The results obtained showed that, although the process was in control, there was an out-of-control situation in the principal maintenance intervention for the treatment system. In particular, process capability indices showed a decreasing percentage of points in control which was, however, acceptable according to AAPM TG148 guidelines. Our findings underline the importance of restricting the acceptable range of daily output checks and suggest a future line of investigation for a detailed process control of daily output checks for the Helical TomoTherapy Hi-Art treatment system.http://europepmc.org/articles/PMC4746057?pdf=render
spellingShingle Emilio Mezzenga
Vincenzo D'Errico
Anna Sarnelli
Lidia Strigari
Enrico Menghi
Francesco Marcocci
David Bianchini
Marcello Benassi
Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
PLoS ONE
title Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
title_full Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
title_fullStr Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
title_full_unstemmed Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
title_short Preliminary Retrospective Analysis of Daily Tomotherapy Output Constancy Checks Using Statistical Process Control.
title_sort preliminary retrospective analysis of daily tomotherapy output constancy checks using statistical process control
url http://europepmc.org/articles/PMC4746057?pdf=render
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