American association of physicists in medicine radiation therapy committee task group 53: Quality assurance for clinical radiotherapy treatment planning

Benedick Fraass, Karen Doppke, Margie Hunt, Gerald Kutcher, George Starkschall, Robin L Stern, Jake Van Dyke

Research output: Contribution to journalArticle

548 Scopus citations

Abstract

In recent years, the sophistication and complexity of clinical treatment planning and treatment planning systems has increased significantly, particularly including three-dimensional (3D) treatment planning systems, and the use of conformal treatment planning and delivery techniques. This has led to the need for a comprehensive set of quality assurance (QA) guidelines that can be applied to clinical treatment planning. This document is the report of Task Group 53 of the Radiation Therapy Committee of the American Association of Physicists in Medicine. The purpose of this report is to guide and assist the clinical medical physicist in developing and implementing a comprehensive but viable program of quality-assurance for modern radiotherapy treatment planning. The scope of the QA needs for treatment planning is quite broad, encompassing image-based definition of patient anatomy, 3D beam descriptions for complex beams including multileaf collimator apertures, 3D dose calculation algorithms, and complex plan evaluation tools including dose volume histograms. The Task Group recommends an organizational framework for the task of creating a QA program which is individualized to the needs of each institution and addresses the issues of acceptance testing, commissioning the planning system and planning process, routine quality assurance, and ongoing QA of the planning process. This report, while not prescribing specific QA tests, provides the framework and guidance to allow radiation oncology physicists to design comprehensive and practical treatment planning QA programs for their clinics.

Original languageEnglish (US)
Pages (from-to)1773-1829
Number of pages57
JournalMedical Physics
Volume25
Issue number10
DOIs
StatePublished - Oct 1998

Keywords

  • 3D treatment planning
  • Quality assurance
  • Treatment planning

ASJC Scopus subject areas

  • Biophysics

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