Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems

Medical Physics

Volumn 37, Issue 12, 2010, Pages 6466-6479

  Sawant, Amit ^a   Dieterich, Sonja ^a   Svatos, Michelle ^b   Keall, Paul ^a  

^a STANFORD UNIVERSITY   (United States)

^b VARIAN MEDICAL SYSTEMS   (United States)

Author keywords

commissioning; FMEA; MLC tracking; quality assurance

Indexed keywords

BIOMEDICAL ENGINEERING; FAILURE (MECHANICAL); FAILURE MODES; QUALITY ASSURANCE; QUALITY CONTROL; SOFTWARE TESTING; TRACKING (POSITION); TUMORS;

COMMISSIONING; COORDINATE SYSTEM TRANSFORMATION; DYNAMIC MULTILEAF COLLIMATORS; ELECTROMAGNETIC TRANSPONDERS; FAILURE MODE AND EFFECT ANALYSIS; FMEA; PROBABILITY OF OCCURRENCE; REAL-TIME TUMOR TRACKING;

MOTION TRACKING;

EID: 78650081291     PISSN: 00942405     EISSN: None     Source Type: Journal    
DOI: 10.1118/1.3517837     Document Type: Article

References (33)

1. A. Sawant, R. Venkat, V. Srivastava, D. Carlson, S. Povzner, H. Cattell, and P. Keall, " Management of three-dimensional intrafraction motion through real-time DMLC tracking.," Med. Phys. MPHYA6 0094-2405 35, 2050-2061 (2008). 10.1118/1.2905355 (Pubitemid 351614820)
2. J. Zimmerman, S. Korreman, G. Persson, H. Cattell, M. Svatos, A. Sawant, R. Venkat, D. Carlson, and P. Keall, " DMLC motion tracking of moving targets for intensity modulated arc therapy treatment: A feasibility study.," Acta Oncol. ACTOEL 0284-186X 48, 245-250 (2009). 10.1080/02841860802266722
3. A. Sawant, R. L. Smith, R. B. Venkat, L. Santanam, B. Cho, P. Poulsen, H. Cattell, L. J. Newell, P. Parikh, and P. J. Keall, " Toward submillimeter accuracy in the management of intrafraction motion: The integration of real-time internal position monitoring and multileaf collimator target tracking.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 74, 575-582 (2009). 10.1016/j.ijrobp.2008.12.057
4. R. L. Smith, A. Sawant, L. Santanam, R. B. Venkat, L. J. Newell, B. C. Cho, P. Poulsen, H. Catell, P. J. Keall, and P. J. Parikh, " Integration of real-time internal electromagnetic position monitoring coupled with dynamic multileaf collimator tracking: An intensity-modulated radiation therapy feasibility study.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 74, 868-875 (2009). 10.1016/j.ijrobp.2009.01.031
5. B. Cho, P. R. Poulsen, A. Sloutsky, A. Sawant, and P. J. Keall, " First demonstration of combined kV/MV image-guided real-time dynamic multileaf-collimator target tracking.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 74, 859-867 (2009). 10.1016/j.ijrobp.2009.02.012
6. U. Oelfke, M. Tacke, A. Kraus, and S. Nill, " Real-time tumor tracking: Automatic compensation of target motion using ythe Siemens 160 MLC.," Med. Phys. MPHYA6 0094-2405 37 (2), 753-761 (2009).
7. P. J. Keall, A. Sawant, B. Cho, D. Ruan, J. Wu, P. Poulsen, J. Petersen, L. J. Newell, H. Cattell, and S. Korreman, " Electromagnetic-guided dynamic multileaf collimator tracking enables motion management for intensity-modulated arc therapy.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 doi:10.1016/j.ijrobp.2010.03.011.
8. J. DeRosier, E. Stalhandske, J. P. Bagian, and T. Nudell, " Using health care failure mode and effect analysis: The VA National Center for patient safety's prospective risk analysis system.," Jt. Common. J. Qual. Improv. ZZZZZZ 27 (5), 248-267 (2002).
9. P. L. Spath, " Using failure mode and effects analysis to improve patient safety.," AORN J. ZZZZZZ 0001-2092 78, 15-37 (2003). 10.1016/S0001-2092(06)61343-4
10. " Failure mode and effects analysis. A hands-on guide for healthcare facilities.," Health Devices ZZZZZZ 0046-7022 33, 233-243 (2004).
11. D. H. Stamatis, Failure Mode and Effect Analysis: FMEA from Theory to Execution, 2nd ed. (ASQ Quality, Milwaukee, 2003).
12. M. S. Huq, B. A. Fraass, P. B. Dunscombe, J. P. Gibbons, Jr., G. S. Ibbott, P. M. Medin, A. Mundt, S. Mutic, J. R. Palta, B. R. Thomadsen, J. F. Williamson, and E. D. Yorke, " A method for evaluating quality assurance needs in radiation therapy.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 71, S170-S173 (2008). 10.1016/j.ijrobp.2007.06.081
13. F. Rath, " Tools for developing a quality management program: Proactive tools (process mapping, value stream mapping, fault tree analysis, and failure mode and effects analysis).," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 71, S187-S190 (2008). 10.1016/j.ijrobp.2007.07.2385
14. E. C. Ford, R. Gaudette, L. Myers, B. Vanderver, L. Engineer, R. Zellars, D. Y. Song, J. Wong, and T. L. Deweese, " Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 74, 852-858 (2009). 10.1016/j.ijrobp.2008.10.038
15. D. Ruan, " Kernel density estimation-based real-time prediction for respiratory motion.," Phys. Med. Biol. PHMBA7 0031-9155 55, 1311-1326 (2010). 10.1088/0031-9155/55/5/004
16. Y. Suh, A. Sawant, R. Venkat, and P. J. Keall, " Four-dimensional IMRT treatment planning using a DMLC motion-tracking algorithm.," Phys. Med. Biol. PHMBA7 0031-9155 54, 3821-3835 (2009). 10.1088/0031-9155/54/12/014
17. M. Gui, Y. Feng, B. Yi, A. A. Dhople, and C. Yu, " Four-dimensional intensity-modulated radiation therapy planning for dynamic tracking using a direct aperture deformation (DAD) method.," Med. Phys. MPHYA6 0094-2405 37, 1966-1975 (2010). 10.1118/1.3319498
18. G. J. Kutcher, L. Coia, M. Gillin, W. F. Hanson, S. Leibel, R. J. Morton, J. R. Palta, J. A. Purdy, L. E. Reinstein, G. K. Svensson, M. Weller, and L. Wingfield, " Comprehensive QA for radiation oncology-Report of AAPM Radiation Therapy Committee Task Group 40.," Med. Phys. MPHYA6 0094-2405 21, 581-618 (1994). 10.1118/1.597316 (Pubitemid 24129939)
19. L. Santanam, C. Noel, T. R. Willoughby, J. Esthappan, S. Mutic, E. E. Klein, D. A. Low, and P. J. Parikh, " Quality assurance for clinical implementation of an electromagnetic tracking system.," Med. Phys. MPHYA6 0094-2405 36, 3477-3486 (2009). 10.1118/1.3158812
20. E. E. Klein, J. Hanley, J. Bayouth, F. F. Yin, W. Simon, S. Dresser, C. Serago, F. Aguirre, L. Ma, B. Arjomandy, C. Liu, C. Sandin, and T. Holmes, " Task Group 142 report: Quality assurance of medical accelerators.," Med. Phys. MPHYA6 0094-2405 36, 4197-4212 (2009). 10.1118/1.3190392
21. T. Losasso, " IMRT delivery performance with a Varian multileaf collimator.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 71, S85-S88 (2008). 10.1016/j.ijrobp.2007.06.082
22. G. A. Ezzell, J. W. Burmeister, N. Dogan, T. J. LoSasso, J. G. Mechalakos, D. Mihailidis, A. Molineu, J. R. Palta, C. R. Ramsey, B. J. Salter, J. Shi, P. Xia, N. J. Yue, and Y. Xiao, " IMRT commissioning: Multiple institution planning and dosimetry comparisons, a report from AAPM Task Group 119.," Med. Phys. MPHYA6 0094-2405 36, 5359-5373 (2009). 10.1118/1.3238104
23. C. C. Ling, P. Zhang, Y. Archambault, J. Bocanek, G. Tang, and T. Losasso, " Commissioning and quality assurance of RapidArc radiotherapy delivery system.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 72, 575-581 (2008). 10.1016/j.ijrobp.2008.05.060
24. National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v4.0, http://evs.nci.nih.gov/ftp1/CTCAE/About.html (2009).
25. K. Malinowski, K. Lechleiter, J. Hubenschmidt, D. Low, and P. Parikh, " Use of the 4D phantom to test real-time targeted radiation therapy device accuracy.," Med. Phys. MPHYA6 0094-2405 34, 2611-2611 (2007). 10.1118/1.2761600
26. D. Ruan, A. Sawant, B. C. Cho, P. R. Poulsen, and P. J. Keall, " A novel optimization based leaf sequencing algorithm with explicit underdose and overdose penalties in 4D radiotherapy.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 75, S627-S627 (2009). 10.1016/j.ijrobp.2009.07.1433
27. Y. Suh, S. Dieterich, B. Cho, and P. J. Keall, " An analysis of thoracic and abdominal tumour motion for stereotactic body radiotherapy patients.," Phys. Med. Biol. PHMBA7 0031-9155 53, 3623-3640 (2008). 10.1088/0031-9155/53/13/016 (Pubitemid 352020045)
28. S. Dieterich and T. Pawlicki, " Cyberknife image-guided delivery and quality assurance.," Int. J. Radiat. Oncol., Biol., Phys. IOBPD3 0360-3016 71, S126-S130 (2008). 10.1016/j.ijrobp.2007.08.081
29. F. Franceschini and M. Galetto, " A new approach for evaluation of risk priorities of failure modes in FMEA.," Int. J. Prod. Res. IJPRB8 0020-7543 39, 2991-3002 (2001). 10.1080/00207540110056162 (Pubitemid 35165556)
30. A. Pillay and J. Wang, " Modified failure mode and effects analysis using approximate reasoning.," Reliab. Eng. Syst. Saf. RESSEP 0951-8320 79, 69-85 (2003). 10.1016/S0951-8320(02)00179-5
31. S. M. Seyed-Hosseini, N. Safaei, and M. J. Asgharpour, " Reprioritization of failures in a system failure mode and effects analysis by decision making trial and evaluation laboratory technique.," Reliab. Eng. Syst. Saf. RESSEP 0951-8320 91, 872-881 (2006). 10.1016/j.ress.2005.09.005
32. G. A. Keskin and C. Ozkan, " An alternative evaluation of FMEA: Fuzzy art algorithm.," Qual. Reliab. Eng. Int QREIE5 0748-8017 25, 647-661 (2009). 10.1002/qre.984
33. See supplementary material at E-MPHYA6-37-042012. For more information on supplementary material see, http://www/aip/org/pubservs/epaps.html.