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Variation in external beam treatment plan quality: An inter-institutional study of planners and planning systems

  • Benjamin E. Nelms, PhD

      Affiliations

    • Canis Lupus LLC, Merrimac, Wisconsin
    • Department of Human Oncology, University of Wisconsin, Madison, Wisconsin
    • Corresponding Author InformationCorresponding author. E13624 Grace St, Merrimac, WI 53561.
  • ,
  • Greg Robinson, CMD

      Affiliations

    • Radiation Oncology Resources, Goshen, Indiana
  • ,
  • Jay Markham, CMD

      Affiliations

    • Radiation Oncology Resources, Goshen, Indiana
  • ,
  • Kyle Velasco, CMD

      Affiliations

    • Radiation Oncology Resources, Goshen, Indiana
  • ,
  • Steve Boyd, CMD

      Affiliations

    • Radiation Oncology Resources, Goshen, Indiana
  • ,
  • Sharath Narayan, CMD

      Affiliations

    • Radiation Oncology Resources, Goshen, Indiana
  • ,
  • James Wheeler, MD, PhD

      Affiliations

    • Department of Radiation Oncology, Goshen Health System, Goshen, Indiana
  • ,
  • Mark L. Sobczak, MD

      Affiliations

    • Fox Chase Cancer Center, Philadelphia, Pennsylvania

Received 10 October 2011 ,Revised 18 November 2011 ,Accepted 28 November 2011. Published online 11 January 2012 Corrected Proof

References 

  1. Deming WE. Out of the Crisis. Cambridge, MA: MIT Press; 1986;
  2. Aguayo R. Dr. Deming: The American who taught the Japanese about quality. New York, NY: Simon and Schuster; 1991;
  3. Li XA, Tai A, Arthur DW, et al. Variability of target and normal structure delineation for breast cancer radiotherapy: An RTOG multi-institutional and multiobserver Study. Int J Radiat Oncol Biol Phys. 2009;73:944–951
  4. Hurkmans CW, Borger JH, Pieters BR, Russell NS, Jansen EP, Mijnheer BJ. Variability in target volume delineation on CT scans of the breast. Int J Radiat Oncol Biol Phys. 2001;50:1366–1372
  5. Yamamoto M, Nagata Y, Okajima K, et al. Differences in target outline delineation from CT scans of brain tumours using different methods and different observers. Radiother Oncol. 1999;50:151–156
  6. Nelms BE, Tomé WA, G Robinson, Wheeler J. Variations in the contouring of organs at risk: Test case from a patient with oropharyngeal cancer [E-pub ahead of print November 29, 2010]. Int J Radiat Oncol Biol Phys. 2010;
  7. Matsuo Y, Takayama K, Nagata Y, et al. Interinstitutional variations in planning for stereotactic body radiation therapy for lung cancer. Int J Radiat Oncol Biol Phys. 2007;68:416–425
  8. Wu B, Ricchetti F, Sanguineti G, et al. Patient geometry-driven information retrieval for IMRT treatment plan quality control. Med Phys. 2009;36:5497–5505
  9. Shewhart WA. 1939. Statistical method from the viewpoint of quality control. Department of Agriculture. Dover; 1986:45.
  10. Deming WE. Elementary principles of the statistical control of quality, Union of Japanese Scientists and Engineers (JUSE). 1950;

 Conflicts of interest: None.

PII: S1879-8500(11)00355-9

doi: 10.1016/j.prro.2011.11.012

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Article in Press