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Open RT Structures: A Solution for TG-263 Accessibility.

Brian M Anderson¹, Laura Padilla¹, Jeffrey M Ryckman²

¹Department of Radiation Medicine and Applied Sciences, University of California San Diego, San Diego, California.

International Journal of Radiation Oncology, Biology, Physics

|October 1, 2023

Summary

This summary is machine-generated.

A new program facilitates the creation of TG-263-compliant radiation therapy structure templates in multiple languages, simplifying data sharing and workflow automation. This tool supports standardized nomenclature for improved research and reduced medical errors in oncology.

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Area of Science:

Medical Physics
Radiation Oncology
Health Informatics

Background:

Standardized nomenclature in radiation oncology is crucial for big data initiatives and workflow automation.
Current adoption of Task Group 263 (TG-263) standards faces challenges due to resource burdens.
Consistent naming conventions are essential for toxicity research, error reduction, and quality improvement.

Purpose of the Study:

To develop a user-friendly program for creating TG-263-compliant structure templates.
To support template creation in English, Spanish, and French to facilitate international data sharing.
To reduce the burden on clinical resources associated with TG-263 transition.

Main Methods:

Assembled 53 structure templates based on an ASTRO consensus paper.
Customized templates with common targets and relevant organs at risk (OARs).
Developed templates for various subsites and brachytherapy applications, with customizable color options.

Main Results:

Created a Windows-compatible program generating DICOM or XML template files.
The program extracts nomenclature from an online TG-263U1 database for up-to-date templates.
Ensures continuous access to standardized structure nomenclature.

Conclusions:

A tool has been developed for creating TG-263-compliant DICOM-RT structure sets compatible with all planning systems.
The program and source code are publicly available on GitHub for community feedback and further development.
Facilitates easier adoption of standardized nomenclature for radiation therapy planning.