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Smith K, Ulin K, Knopp M, Kry S, Xiao Y, Rosen M, Michalski J, Iandoli M, Laurie F, Quigley J, Reifler H, Santiago J, Briggs K, Kirby S, Schmitter K, Prior F, Saltz J, Sharma A, Bishop-Jodoin M, Moni J, Cicchetti MG, FitzGerald TJ. Quality improvements in radiation oncology clinical trials. Front Oncol 2023; 13:1015596. [PMID: 36776318 PMCID: PMC9911211 DOI: 10.3389/fonc.2023.1015596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 01/06/2023] [Indexed: 01/27/2023] Open
Abstract
Clinical trials have become the primary mechanism to validate process improvements in oncology clinical practice. Over the past two decades there have been considerable process improvements in the practice of radiation oncology within the structure of a modern department using advanced technology for patient care. Treatment planning is accomplished with volume definition including fusion of multiple series of diagnostic images into volumetric planning studies to optimize the definition of tumor and define the relationship of tumor to normal tissue. Daily treatment is validated by multiple tools of image guidance. Computer planning has been optimized and supported by the increasing use of artificial intelligence in treatment planning. Informatics technology has improved, and departments have become geographically transparent integrated through informatics bridges creating an economy of scale for the planning and execution of advanced technology radiation therapy. This serves to provide consistency in department habits and improve quality of patient care. Improvements in normal tissue sparing have further improved tolerance of treatment and allowed radiation oncologists to increase both daily and total dose to target. Radiation oncologists need to define a priori dose volume constraints to normal tissue as well as define how image guidance will be applied to each radiation treatment. These process improvements have enhanced the utility of radiation therapy in patient care and have made radiation therapy an attractive option for care in multiple primary disease settings. In this chapter we review how these changes have been applied to clinical practice and incorporated into clinical trials. We will discuss how the changes in clinical practice have improved the quality of clinical trials in radiation therapy. We will also identify what gaps remain and need to be addressed to offer further improvements in radiation oncology clinical trials and patient care.
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Affiliation(s)
- Koren Smith
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Kenneth Ulin
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Michael Knopp
- Imaging and Radiation Oncology Core-Ohio, Department of Radiology, The Ohio State University, Columbus, OH, United States
| | - Stephan Kry
- Imaging and Radiation Oncology Core-Houston, Division of Radiation Oncology, University of Texas, MD Anderson, Houston, TX, United States
| | - Ying Xiao
- Imaging and Radiation Oncology Core Philadelphia, Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States
| | - Mark Rosen
- Imaging and Radiation Oncology Core Philadelphia, Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States
| | - Jeff Michalski
- Department of Radiation Oncology, Washington University, St Louis, MO, United States
| | - Matthew Iandoli
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Fran Laurie
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Jean Quigley
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Heather Reifler
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Juan Santiago
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Kathleen Briggs
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Shawn Kirby
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Kate Schmitter
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Fred Prior
- Department of Biomedical Informatics, University of Arkansas, Little Rock, AR, United States
| | - Joel Saltz
- Department of Biomedical Informatics, Stony Brook University, Stony Brook, NY, United States
| | - Ashish Sharma
- Department of Biomedical Informatics, Emory University, Atlanta, GA, United States
| | - Maryann Bishop-Jodoin
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Janaki Moni
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - M. Giulia Cicchetti
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
| | - Thomas J. FitzGerald
- Imaging and Radiation Oncology Core-Rhode Island, Department of Radiation Oncology, UMass Chan Medical School, Lincoln, RI, United States
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Shen C, Kry S, Buchsbaum J, Milano M, Inskip P, Francis J, WIlson M, Whelan K, Mayo C, Olch A, Constine L, Terezakis S, Vogelius I. Retinopathy, Optic Neuropathy and Cataract in Childhood Cancer Survivors Treated with Radiotherapy: A Report from the Pediatric Normal Tissue Effects in the Clinic (PENTEC) Initiative. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Edward S, Howell R, Balter P, Peterson C, Pollard-Larkin J, Kry S. PD-0738 Assessing the extent of treatment delivery errors among IROC H&N and lung phantoms. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02933-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Owens C, Rigaud B, Ludmir E, Gupta A, Shrestha S, de la Cruz Paulino A, Peterson C, Kry S, Smith S, Brock K, Henderson T, Howell R. OC-0939 Development and validation of a population-based colorectal model for radiation therapy dosimetry. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02719-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Edward S, Peterson C, Howell R, Balter P, Pollard-Larkin J, Kry S. OC-0290 Sources of errors in radiotherapy as assessed with the IROC lung, H&N and Spine phantoms. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02548-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kry S, Lye J, Clark C, Andratschke N, Dimitriadis A, Followill D, Howell R, Hussein M, Ishikawa M, Kito S, Kron T, Lee J, Michalski J, Monti A, Reynaert N, Taylor P, Venables K, Xiao Y, Lehmann J. PD-0899 Report dose-to-medium in clinical trials; a consensus from the Global Harmonisation Group. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07178-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Branco D, Kry S, Paige T, Rong J, Zhang X, Frank S, Followill D. PO-1754: A stereoscopic CT artifact reduction method image quality comparison to current vendor solutions. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01772-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Kry S, Alvarez P, Leif J, Molineu A, Taylor P, Followill D. Findings from Iroc's Beam Output Evaluations. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Kry S, Glenn M, Peterson C, Branco D, Mehrens H, Steinmann A, Followill D. OC-0606 IMRT QA: comparing independent recalculation against measurement based methods. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31026-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Glenn M, Followill D, Howell R, Pollard-Larkin J, Zhou S, Kry S. EP-1729 Evaluation of beam modeling parameter variations among radiotherapy institutions using common TPS. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32149-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Glenn M, Followill D, Howell R, Pollard-Larkin J, Zhou S, Kry S. OC-0088 A pilot study on the sensitivity of common beam modeling parameters in Eclipse. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30508-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Craft D, Balter P, Woodward W, Kry S, Salehpour M, Howell R. Design and Feasibility of 3D Printed Tissue Compensators for Postmastectomy Radiation Therapy. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Vassiliev O, Kry S, Peterson C. A Model of the Relative Biological Effectiveness of X-Rays Based on a Survey of Experimental Data. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Glenn M, Hernández V, Sáez J, Followill D, Zhou S, Kry S. OC-0614: Complexity metrics do not predict plan performance in IROC Houston head and neck phantom irradiations. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30924-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Taylor P, Kry S, Followill D. Commercial Analytic Dose Calculation Algorithms Dramatically Overpredict Proton Therapy Dose to Thoracic Tumors in Lung Credentialing Phantom. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.2352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Craft D, Woodward W, Kanke J, Kry S, Howell R. Use of Flexible 3-Dimensional Printed Materials for In-House Fabrication of Patient-Specific Tissue Equivalent Compensators for Postmastectomy Radiation Therapy. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.2242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Alvarez P, Molineu A, Lowenstein J, Taylor P, Kry S, Followill D. SU-F-T-485: Independent Remote Audits for TG51 NonCompliant Photon Beams Performed by the IROC Houston QA Center. Med Phys 2016. [DOI: 10.1118/1.4956670] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Craft D, Woodward W, Kanke J, Kry S, Salehpour M, Howell R. TU-H-BRC-08: Use and Validation of Flexible 3D Printed Tissue Compensators for Post-Mastectomy Radiation Therapy. Med Phys 2016. [DOI: 10.1118/1.4957615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Carson M, Molineu A, Taylor P, Followill D, Kry S. WE-H-BRC-08: Examining Credentialing Criteria and Poor Performance Indicators for IROC Houston's Anthropomorphic Head and Neck Phantom. Med Phys 2016. [DOI: 10.1118/1.4957986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kerns J, Followill D, Howell R, Melancon A, Stingo F, Kry S. MO-FG-202-05: Identifying Treatment Planning System Errors in IROC-H Phantom Irradiations. Med Phys 2016. [DOI: 10.1118/1.4957307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Molineu A, Kry S, Alvarez P, Hernandez N, Nguyen T, Followill D. SU-G-TeP2-12: IROCHouston and MDAPL SRS Anthropomorphic Phantom Results. Med Phys 2016. [DOI: 10.1118/1.4957047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Cardenas C, Nitsch P, Kudchadker R, Howell R, Kry S. TH-AB-201-03: Characterization of Electron Beam Out-Of-Field Doses and Neutron Contamination from Modern Varian and Elekta Linear Accelerators. Med Phys 2016. [DOI: 10.1118/1.4958031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Followill D, Kry S, Molineu A, Lowenstein J, Alvarez P, Taylor P, Nguyen H, Hernandez N, Nguyen T, Lujano C, Keith T. EP-1916: The IROC Houston QA Center’s international activities outside North America. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33167-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wesolowska P, Almady B, Adolfsson E, Carlsson Tedgren A, Georg D, Kry S, Lechner W, Povall J, Tenhunen M, Tomsej M, Izewska J. OC-0357: Pilot study of a remote end-to-end dosimetry audit for IMRT and VMAT treatments. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)31606-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Tomsej M, Followill D, Georg D, Izewska J, Kry S, Tenhunen M, Thwaites D. Development of external dosimetry audits for advanced technology in radiotherapy dose delivery: An IAEA coordinated research project. Phys Med 2015. [DOI: 10.1016/j.ejmp.2015.10.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Cardenas C, Nitsch P, Kudchadker R, Howell R, Kry S. TU-F-CAMPUS-T-04: An Evaluation of Out-Of-Field Doses for Electron Beams From Modern Varian and Elekta Linear Accelerators. Med Phys 2015. [DOI: 10.1118/1.4925789] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Faught JT, Balter P, Johnson J, Kry S, Court L, Stingo F, Followill D. SU-E-T-179: Clinical Impact of IMRT Failure Modes at Or Near TG-142 Tolerance Criteria Levels. Med Phys 2015. [DOI: 10.1118/1.4924540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Taylor P, Lowenstein J, Kry S, Ibbott G, Followill D. TU-EF-304-06: A Comparison of CT Number to Relative Linear Stopping Power Conversion Curves Used by Proton Therapy Centers. Med Phys 2015. [DOI: 10.1118/1.4925661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kry S, Dromgoole L, Alvarez P, Lowenstein J, Molineu A, Taylor P, Followill D. WE-G-BRA-05: IROC Houston On-Site Audits and Parameters That Affect Performance. Med Phys 2015. [DOI: 10.1118/1.4926075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kry S, Dromgoole L, Alvarez P, Lowenstein J, Molineu A, Taylor P, Followill D. WE-G-BRA-04: Common Errors and Deficiencies in Radiation Oncology Practice. Med Phys 2015. [DOI: 10.1118/1.4926074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Followill D, Kry S, Molineu A, Lowenstein J, Alvarez P, Taylor P, Nguyen H, Hernandez N, Lujano C, Nguyen T, Keith T, Roll J, Tailor A. TU-G-BRD-06: The Imaging and Radiation Oncology Core Houston (IROC Houston) QA Center International Activities Outside North America. Med Phys 2015. [DOI: 10.1118/1.4925741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Lee P, Alvarez P, Taylor P, Lowenstein J, Molineu A, Kry S, Followill D. SU-E-T-98: An Analysis of TG-51 Electron Beam Calibration Correction Factor Uncertainty. Med Phys 2015. [DOI: 10.1118/1.4924459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Huang J, Followill D, Howell R, Liu X, Mirkovic D, Stingo F, Kry S. SU-E-T-329: Dosimetric Impact of Implementing Metal Artifact Reduction Methods and Metal Energy Deposition Kernels for Photon Dose Calculations. Med Phys 2015. [DOI: 10.1118/1.4924690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kry S. TH-F-304-02: Overview of Non-Target Doses, Concerns, and Summary of Recommendations. Med Phys 2015. [DOI: 10.1118/1.4926321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Faught JT, Johnson J, Stingo F, Kry S, Court L, Balter P, Followill D. SU-E-T-105: An FMEA Survey of Intensity Modulated Radiation Therapy (IMRT) Step and Shoot Dose Delivery Failure Modes. Med Phys 2015. [DOI: 10.1118/1.4924466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kerns J, Howell R, Followill D, Melancon A, Stingo F, Kry S. SU-E-T-792: Validation of a Secondary TPS for IROC-H Recalculation of Anthropomorphic Phantoms. Med Phys 2015. [DOI: 10.1118/1.4925156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kry S, Howell R, Bednarz B. PO-1005: AAPM TG-158: assessing and lowering doses outside the treatment volume from external-beam radiation therapy. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40997-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lewis D, Summers P, Followill D, Sahoo N, Mahajan A, Stingo F, Kry S. SU-E-CAMPUS-T-03: Development and Implementation of An Anthropomorphic Pediatric Spine Phantom for the Assessment of Craniospinal Irradiation Procedures in Proton Therapy. Med Phys 2014. [DOI: 10.1118/1.4889010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Faught A, Davidson S, Kry S, Fontenot J, Etzel C, Ibbott G, Followill D. SU-E-T-110: Development of An Independent, Monte Carlo, Dose Calculation, Quality Assurance Tool for Clinical Trials. Med Phys 2014. [DOI: 10.1118/1.4888440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Huang J, Kerns J, Nute J, Liu X, Stingo F, Followill D, Mirkovic D, Howell R, Kry S. WE-D-18A-01: Evaluation of Three Commercial Metal Artifact Reduction Methods for CT Simulations in Radiation Therapy Treatment Planning. Med Phys 2014. [DOI: 10.1118/1.4889410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kry S, Alvarez P, Stingo F, Followill D. SU-F-BRE-14: Uncertainty Analysis for Dose Measurements Using OSLD NanoDots. Med Phys 2014. [DOI: 10.1118/1.4889052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Followill D, Lowenstein J, Molineu A, Alvarez P, Summers P, Kry S. SU-C-BRD-07: The Radiological Physics Center (RPC): 45 Years of Improving Radiotherapy Dosimetry. Med Phys 2014. [DOI: 10.1118/1.4889720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Starkschall G, Kry S, Howell R. MO-D-9A-01: “Stop Lecturing Me!” - New Methods for Teaching Medical Physics. Med Phys 2014. [DOI: 10.1118/1.4889145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Tonigan J, Johnson J, Kry S, Balter P, Court L, Stingo F, Followill D. SU-E-T-192: FMEA Severity Scores - Do We Really Know? Med Phys 2014. [DOI: 10.1118/1.4888522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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46
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McKenzie E, Balter P, Stingo F, Followill D, Jones J, Kry S. TU-C-BRE-09: Performance Comparisons of Patient Specific IMRT QA Methodologies Using ROC Analysis. Med Phys 2014. [DOI: 10.1118/1.4889272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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47
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Molineu A, Alvarez P, Kry S, Followill D. SU-E-T-543: Is It Feasible to Tighten the Criteria for IROC's Anthropomorphic Phantoms? Med Phys 2014. [DOI: 10.1118/1.4888877] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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48
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Kerns J, Alvarez P, Followill D, Lowenstein J, Molineu A, Summers P, Kry S. SU-E-T-471: Small Field Jaw/MLC Reference Data. Med Phys 2014. [DOI: 10.1118/1.4888804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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49
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Kerns J, Alvarez P, Followill D, Lowenstein J, Molineu A, Summers P, Kry S. TU-C-BRE-03: Aggregation of Linac Measurement Data. Med Phys 2014. [DOI: 10.1118/1.4889266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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50
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Pulliam K, Kerns J, Howell R, Followill D, O' Daniel J, Kry S. MO-G-BRE-02: A Survey of IMRT QA Practices for More Than 800 Institutions. Med Phys 2014. [DOI: 10.1118/1.4889185] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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