FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387208047> ?p ?o ?g. }

• W4387208047 endingPage "S163" @default.
• W4387208047 startingPage "S163" @default.
• W4387208047 abstract "A new ring gantry Linac machine combined with a PET ring is available in the market. It has 3 separate centers, one for laser, one for CT imaging and a 3rd for the Linac. As a first-generation machine of its kind, the workflow heavily depends on user-input. As example, it uses two separate coordinate systems, IEC for lasers and CT localization offsets and DICOM for treatment planning. The planner must manually convert between the two systems. We hypothesize that the unique design of the machine that is heavily dependent on users' input increases the potential of failure of treatment. The present work investigates failure modes for treatment delivery using the methodology of failure modes and effects analysis (FMEA) and proposes solutions to mitigate some of the failure modes (FMs).A group of two radiation oncologists, two radiation therapists and three medical physicists was assembled. The process map for treatment delivery on the X1 was created and FMs were identified. Members independently graded each FM on 3 parameters, likelihood of occurrence, detectability of FM and level of severity on patient treatment. A grading scale of 1-5 was used with five representing the worst outcome in each parameter. Each member also identified the origin of each FM to be human, machine or clinical process. Mitigation solutions were proposed.The process map of treatment delivery on X1 consists of six major processes and 24 sub-processes. A total of 27 FMs were identified, with many 19/27 (70%) caused by human errors and 7/27 (27%) caused by machine. From all responses, we tallied a median of 11 FMs (40%) that have both S≥ 4 and O or D ≥ 4. To further focus our analysis, we looked at the highest PRN scores from each member and found 7 FMs that were common. 1 FM was in initiation of Treatment sub-process and 6 FMs in Treatment delivery sub-process. Proposed solutions to these FMs were concerned with software upgrades. Examples are, allow changes in fractionation, allow dose tracking, auto calculation of couch position for various sub processes, allow DICOM image transfer and many more. The current clinical workflow that we adopted for these FMs either puts the burden on the user to confirm/verify parameters or the use of third-party software. In addition to these high-scoring FMs, we adopted changes in clinical workflow to mitigate other FMs, most of them through third-party software.This study confirmed that the unique design and user-dependent machine environment, human failures are high accounting for 70% of FMs in treatment delivery alone. Our current workflow of the machine depends on direct user input to calculate/confirm certain parameters or the use of third-party software, which also depends on the user for proper completion of the task. Suggested solutions also included proposed improvement to the machine's software and user interface." @default.
• W4387208047 created "2023-09-30" @default.
• W4387208047 creator A5010377810 @default.
• W4387208047 creator A5011375689 @default.
• W4387208047 creator A5013622492 @default.
• W4387208047 creator A5030116440 @default.
• W4387208047 creator A5041563301 @default.
• W4387208047 creator A5075658285 @default.
• W4387208047 creator A5085788971 @default.
• W4387208047 date "2023-10-01" @default.
• W4387208047 modified "2023-10-17" @default.
• W4387208047 title "Failure Mode and Effects Analysis for Treatment Workflow of a Novel Ring Gantry Linac" @default.
• W4387208047 doi "https://doi.org/10.1016/j.ijrobp.2023.06.258" @default.
• W4387208047 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37784410" @default.
• W4387208047 hasPublicationYear "2023" @default.
• W4387208047 type Work @default.
• W4387208047 citedByCount "0" @default.
• W4387208047 crossrefType "journal-article" @default.
• W4387208047 hasAuthorship W4387208047A5010377810 @default.
• W4387208047 hasAuthorship W4387208047A5011375689 @default.
• W4387208047 hasAuthorship W4387208047A5013622492 @default.
• W4387208047 hasAuthorship W4387208047A5030116440 @default.
• W4387208047 hasAuthorship W4387208047A5041563301 @default.
• W4387208047 hasAuthorship W4387208047A5075658285 @default.
• W4387208047 hasAuthorship W4387208047A5085788971 @default.
• W4387208047 hasConcept C111919701 @default.
• W4387208047 hasConcept C120665830 @default.
• W4387208047 hasConcept C121332964 @default.
• W4387208047 hasConcept C126838900 @default.
• W4387208047 hasConcept C127413603 @default.
• W4387208047 hasConcept C168834538 @default.
• W4387208047 hasConcept C177212765 @default.
• W4387208047 hasConcept C180048950 @default.
• W4387208047 hasConcept C19527891 @default.
• W4387208047 hasConcept C200601418 @default.
• W4387208047 hasConcept C201645570 @default.
• W4387208047 hasConcept C41008148 @default.
• W4387208047 hasConcept C509974204 @default.
• W4387208047 hasConcept C520434653 @default.
• W4387208047 hasConcept C66283442 @default.
• W4387208047 hasConcept C71924100 @default.
• W4387208047 hasConcept C77088390 @default.
• W4387208047 hasConcept C98045186 @default.
• W4387208047 hasConceptScore W4387208047C111919701 @default.
• W4387208047 hasConceptScore W4387208047C120665830 @default.
• W4387208047 hasConceptScore W4387208047C121332964 @default.
• W4387208047 hasConceptScore W4387208047C126838900 @default.
• W4387208047 hasConceptScore W4387208047C127413603 @default.
• W4387208047 hasConceptScore W4387208047C168834538 @default.
• W4387208047 hasConceptScore W4387208047C177212765 @default.
• W4387208047 hasConceptScore W4387208047C180048950 @default.
• W4387208047 hasConceptScore W4387208047C19527891 @default.
• W4387208047 hasConceptScore W4387208047C200601418 @default.
• W4387208047 hasConceptScore W4387208047C201645570 @default.
• W4387208047 hasConceptScore W4387208047C41008148 @default.
• W4387208047 hasConceptScore W4387208047C509974204 @default.
• W4387208047 hasConceptScore W4387208047C520434653 @default.
• W4387208047 hasConceptScore W4387208047C66283442 @default.
• W4387208047 hasConceptScore W4387208047C71924100 @default.
• W4387208047 hasConceptScore W4387208047C77088390 @default.
• W4387208047 hasConceptScore W4387208047C98045186 @default.
• W4387208047 hasIssue "2" @default.
• W4387208047 hasLocation W43872080471 @default.
• W4387208047 hasLocation W43872080472 @default.
• W4387208047 hasOpenAccess W4387208047 @default.
• W4387208047 hasPrimaryLocation W43872080471 @default.
• W4387208047 hasRelatedWork W1581093932 @default.
• W4387208047 hasRelatedWork W1967083652 @default.
• W4387208047 hasRelatedWork W1974429421 @default.
• W4387208047 hasRelatedWork W2006783957 @default.
• W4387208047 hasRelatedWork W2032126358 @default.
• W4387208047 hasRelatedWork W2073704274 @default.
• W4387208047 hasRelatedWork W2117171400 @default.
• W4387208047 hasRelatedWork W2552671735 @default.
• W4387208047 hasRelatedWork W3126724756 @default.
• W4387208047 hasRelatedWork W2085193801 @default.
• W4387208047 hasVolume "117" @default.
• W4387208047 isParatext "false" @default.
• W4387208047 isRetracted "false" @default.
• W4387208047 workType "article" @default.