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Related Experiment Video

Updated: Jul 3, 2026

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

Published on: April 11, 2018

Disease-Site Specific Peer Review Implementation: From Chart Rounds to the Treatment Couch.

Leslie Chang¹, Chad Caraway¹, Mario Duhon¹

¹Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland.

Advances in Radiation Oncology

|July 2, 2026

Summary

This summary is machine-generated.

Disease site-specific peer review using a standardized checklist improved radiation treatment planning. Iterative reviews significantly increased the likelihood of implementing plan changes, particularly for target volumes and organ-at-risk contours.

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Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources

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Published on: October 6, 2023

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Last Updated: Jul 3, 2026

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

Published on: April 11, 2018

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources

Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources

Published on: October 6, 2023

Area of Science:

Radiation oncology
Medical physics
Clinical oncology

Background:

Disease site-specific peer review is crucial for optimizing radiation treatment planning.
The impact of standardized checklists on peer review recommendations and their implementation requires further investigation.

Purpose of the Study:

To evaluate the factors influencing recommendations and their implementation during disease site-specific peer review.
To assess the impact of a standardized peer review checklist on radiation treatment planning.

Main Methods:

A 7-item checklist was prospectively used in 4 disease site-specific peer review groups.
Comments were categorized (A: discussion, B: minor suggestion, C: major modification).
Rates of comment types and implementation of plan changes were tracked and statistically analyzed.

Main Results:

Over 6 months, 1311 peer reviews were conducted, with an average duration of 2 minutes 32 seconds.
Most comments (21.8%) were for discussion (Category A), with few requiring major modifications (Category C).
Iterative reviews significantly increased the likelihood of comments and implemented plan changes (28.9% vs 1.2%).

Conclusions:

A standardized peer review checklist was successfully implemented in disease site-specific meetings.
Comment types and implementation varied significantly across checklist items and disease sites.
Iterative review processes substantially enhanced the probability of treatment plan modifications.