Program Information
The Wait Is Over for Universal Plan Check Automation
T Halabi1*, H Lu1 , D Bernard2 , J Chu2 , M Kirk3 , R Hamilton4 , (1) Massachusetts General Hospital, Boston, MA, (2) Rush University Medical Center, Chicago, IL, (3) Mass General/North Shore, Danvers, MA, (4) Univ Arizona, Tucson, AZ
Presentations
PO-BPC-Exhibit Hall-7 (Saturday, March 7, 2015) Room: Exhibit Hall
Purpose: To free thousands of medical physicists from the mechanical labor of plan checks while reducing the likelihood of treatment errors. In doing so, we hope to engage a Moore's law of sorts for automation as these time savings can be committed towards more automation effort.
Methods: A novel solution for plan check automation is deployed through the web using ClickOnce technology. With a single click the user downloads, installs, and launches the application. The program uses a patient's Medical Record Number, inputted by the user, to fetch plan PDFs uploaded into Mosaiq. It then performs two types of checks: 1. comparisons between an arbitrary set of data sources that include the plan PDF and the Mosaiq database. 2. More complex checks listed in an automated check box list. It currently works with Mosaiq, Pinnacle, Eclipse, Xio, proton-Xio, and Raystation.
Results: The program is currently in use at 4 facilities. It has checked over 4000 plans. Any facility using Mosaiq is now a few clicks away from running an automated solution for plan checks. For a typical IMRT plan at Massachusetts General Hospital, the program performs around 600 comparison checks and 100 check box checks. The choice of checks included is informed by the combined clinical physics experience of the program's current 35 users (growing).
Conclusion: Exponential growth in automation will only occur if solutions are made available to others. By basing the choice of checks included on user suggestions we've also established a virtuous cycle in which quality is proportional to number of users and vice versa.
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