Prioritizing Clinical Trial Quality Assurance for Photons and Protons: A Failure Modes and Effects Analysis (FMEA) Comparison

Authors

Paige A Taylor
Elizabeth Miles
Lone Hoffmann
Sarah M Kelly
Stephen F Kry
Ditte Sloth Møller
Hugo Palmans
Kamal Akbarov
Marianne C Aznar
Enrico Clementel
Coreen Corning
Rachel Effeney
Brendan Healy
Alisha Moore
Mitsuhiro Nakamura
Samir Patel
Maddison Shaw
Markus Stock
Joerg Lehmann
Catharine H Clark

Publication Date

5-1-2023

Journal

Radiotherapy & Oncology

DOI

10.1016/j.radonc.2023.109494

PMID

36708923

Abstract

Background and purpose: The Global Clinical Trials RTQA Harmonization Group (GHG) set out to evaluate and prioritize clinical trial quality assurance.

Methods: The GHG compiled a list of radiotherapy quality assurance (QA) tests performed for proton and photon therapy clinical trials. These tests were compared between modalities to assess whether there was a need for different types of assessments per modality. A failure modes and effects analysis (FMEA) was performed to assess the risk of each QA failure.

Results: The risk analysis showed that proton and photon therapy shared four out of five of their highest-risk failures (end-to-end anthropomorphic phantom test, phantom tests using respiratory motion, pre-treatment patient plan review of contouring/outlining, and on-treatment/post-treatment patient plan review of dosimetric coverage). While similar trends were observed, proton therapy had higher risk failures, driven by higher severity scores. A sub-analysis of occurrence × severity scores identified high-risk scores to prioritize for improvements in RTQA detectability. A novel severity scaler was introduced to account for the number of patients affected by each failure. This scaler did not substantially alter the ranking of tests, but it elevated the QA program evaluation to the top 20th percentile. This is the first FMEA performed for clinical trial quality assurance.

Conclusion: The identification of high-risk errors associated with clinical trials is valuable to prioritize and reduce errors in radiotherapy and improve the quality of trial data and outcomes, and can be applied to optimize clinical radiotherapy QA.

Keywords

Humans, Protons, Healthcare Failure Mode and Effect Analysis, Photons, Radiometry, Risk Assessment, Clinical trials, FMEA, Photon therapy, Proton therapy, Quality assurance

Published Open-Access

yes

Recommended Citation

Taylor, Paige A; Miles, Elizabeth; Hoffmann, Lone; et al., "Prioritizing Clinical Trial Quality Assurance for Photons and Protons: A Failure Modes and Effects Analysis (FMEA) Comparison" (2023). Faculty, Staff and Student Publications. 4658.
https://digitalcommons.library.tmc.edu/uthgsbs_docs/4658