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Risk analysis of the Unity 1.5 T MR-Linac adapt-to-position workflow.

Jiayi Liang1, Paola Godoy Scripes1, Neelam Tyagi1

  • 1Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Journal of Applied Clinical Medical Physics
|November 22, 2022
PubMed
Summary
This summary is machine-generated.

Failure modes and effects analysis of the adapt-to-position (ATP) workflow on the Unity MR-Linac identified potential failures. Implementing mitigations enhanced the workflow

Keywords:
ATPFMEAMR-LinacMR-guided radiation therapyadapt to positionfailure modes and effects analysis

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Quality Management

Background:

  • Daily treatment adaptation technologies increase workflow complexity.
  • The Unity MR-Linac utilizes an adapt-to-position (ATP) workflow.
  • Prospective risk assessment is crucial for novel clinical processes.

Purpose of the Study:

  • To perform a prospective risk assessment of the ATP workflow.
  • To identify and evaluate potential failure modes.
  • To enhance the robustness of the ATP workflow.

Main Methods:

  • Failure Modes and Effects Analysis (FMEA) was conducted.
  • Recommendations from AAPM's Task Group 100 were followed.
  • A multidisciplinary team evaluated failure modes in the daily treatment workflow.

Main Results:

  • High-severity failure modes were identified across all workflow steps.
  • Mitigation strategies were developed and implemented.
  • Rescoring confirmed the effectiveness of implemented mitigations.

Conclusions:

  • FMEA highlighted critical areas within the ATP workflow.
  • The process was modified to improve robustness and safety.
  • This proactive approach ensures a more reliable treatment delivery.