HUMAN ERRORS IN THE CALCULATION OF MONITOR UNITS IN CLINICAL RADIOTHERAPY PRACTICE

被引:17
作者
CALANDRINO, R
CATTANEO, GM
DELVECCHIO, A
FIORINO, C
LONGOBARDI, B
SIGNOROTTO, P
机构
[1] Servizio di Fisica Sanitaria, Istituto Scientifico H San Raffaele, 20132 Milan
关键词
QUALITY ASSURANCE; MONITOR UNIT CALCULATION; HUMAN ERRORS;
D O I
10.1016/0167-8140(93)90193-C
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Human mistakes are an important source of error in all steps of radiotherapy planning and their incidence should be investigated. As has been recognized by different authors and by the ICRU [4], the human error rate in the calculation of monitor units (MU) is relatively high. At our institute, we measured the human error rate in the calculation of MU by an independent check of the calculation. From September 1991 to June 1992 we identified and corrected 17 serious errors (deviation from the prescribed dose greater-than-or-equal-to 5%) over 890 controls (1.9%) (daily dose errors). We also found a serious global dose error rate (i.e. the errors induced on the total reference dose for the complete course of the treatment) of 1.3% (9/685) during the period November 1991-June 1992. These values suggest the importance of human errors in the calculation of MU and also confirm the validity of the independent check of MU calculation as one of the simplest ways of avoiding erroneous dose delivery by incorrect calculation of MU.
引用
收藏
页码:86 / 88
页数:3
相关论文
共 13 条
[1]  
BLANCO S, 1987, Radiotherapy and Oncology, V8, P256
[2]  
BRAHME A, 1988, ACTA ONCOL S, V1
[3]  
Kartha P K, 1973, Br J Radiol, V46, P1083
[4]   HUMAN ERRORS IN DATA TRANSFER DURING THE PREPARATION AND DELIVERY OF RADIATION TREATMENT AFFECTING THE FINAL RESULT - GARBAGE IN, GARBAGE OUT [J].
LEUNENS, G ;
VERSTRAETE, J ;
VANDENBOGAERT, W ;
VANDAM, J ;
DUTREIX, A ;
VANDERSCHUEREN, E .
RADIOTHERAPY AND ONCOLOGY, 1992, 23 (04) :217-222
[5]  
MARKS JE, 1976, CANCER, V37, P2755, DOI 10.1002/1097-0142(197606)37:6<2755::AID-CNCR2820370628>3.0.CO
[6]  
2-J
[7]   A RADIOTHERAPY TREATMENT PLANNING CHECK PROGRAM [J].
MORREY, D ;
SMITH, CW .
BRITISH JOURNAL OF RADIOLOGY, 1985, 58 (691) :668-670
[8]   CLINICAL-EXPERIENCE WITH A COMPUTERIZED RECORD AND VERIFY SYSTEM [J].
PODMANICZKY, KC ;
MOHAN, R ;
KUTCHER, GJ ;
KESTLER, C ;
VIKRAM, B .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1985, 11 (08) :1529-1537
[9]   ACCURACY OF RADIATION-FIELD ALIGNMENT IN CLINICAL-PRACTICE [J].
RABINOWITZ, I ;
BROOMBERG, J ;
GOITEIN, M ;
MCCARTHY, K ;
LEONG, J .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1985, 11 (10) :1857-1867
[10]   DOSE EVALUATION TO PATIENTS IRRADIATED BY CO-60 BEAMS, BY MEANS OF DIRECT MEASUREMENT ON THE INCIDENT AND ON THE EXIT SURFACES [J].
RIZZOTTI, A ;
COMPRI, C ;
GARUSI, GF .
RADIOTHERAPY AND ONCOLOGY, 1985, 3 (03) :279-283