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Updated: Jul 17, 2026

Irradiator Commissioning and Dosimetry for Assessment of LQ α and β Parameters, Radiation Dosing Schema, and in vivo Dose Deposition
Published on: March 11, 2021
Quality indicators in radiotherapy
Luca Cionini1, Gianstefano Gardani, Pietro Gabriele
1Dipartimento di Oncologia, Az. Ospedaliera Pisana-Università degli Studi, Pisa, Italy.
This study developed 13 key performance indicators for radiotherapy centers to enhance quality improvement and benchmarking. These indicators cover structural, operational, and technical aspects for continuous assessment.
Area of Science:
- Radiotherapy
- Medical Physics
- Health Technology Assessment
Background:
- Increasing demand for hospital performance indicators in accreditation and quality benchmarking.
- Need for standardized performance metrics in radiotherapy services.
Purpose of the Study:
- To develop a set of performance indicators for a typical radiotherapy center.
- To evaluate the indicators' capability for continuous quality improvement.
Main Methods:
- A multidisciplinary working group (radiation oncologists, medical physicists, technologists, HTA experts) was formed.
- A four-step process involved indicator selection, data collection in Italian centers, data analysis, and final indicator development.
Main Results:
- A final set of 13 performance indicators was developed.
- Indicators encompass structural/operational features, medical physics activities, and treatment accuracy/complexity.
Conclusions:
- The developed indicators have been tested in Italian radiotherapy and medical physics services.
- The indicators are ready for broader implementation to support quality improvement initiatives.
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