Analysis of Aperture-based Complexity Metrics and Their Effect on Patient-specific Quality Assurance in Intensity-modulated Radiation Therapy Planning Article Swipe
Dinesh Kumar Saroj
,
Suresh Yadav
,
Neetu Paliwal
,
Ravindra Shende
,
Gaurav Gupta
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.4103/jmp.jmp_195_24
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.4103/jmp.jmp_195_24
Background: Identifying plans at risk of patient-specific quality assurance (PSQA) failure through complexity metrics can reduce the workload while maintaining quality. This study evaluates complexity metrics as predictors of PSQA outcomes. Materials and Methods: A retrospective analysis was conducted on 192 IMRT plans for head-and-neck cancer. Complexity metrics were calculated using an in-house Python program. PSQA was performed with 3%/2-mm gamma passing rate (GPR) criteria, with plans classified as “Pass” (GPR ≥95%) or “Fail.” Statistical analyses, including Spearman’s correlation and receiver operating characteristic analysis, assessed the metrics’ predictive value. Results: Passing plans had an average GPR of 98.64 ± 1.33%, compared to 92.17 ± 2.35% for failing plans. The mean small area segment (MSAS) 5mm metric, with a threshold of 0.085, achieved a true positive rate of 38.17% and a false positive rate of 3.1%. Beam modulation and beam area indices also significantly differed between passing and failing plans. Conclusion: MSAS5 and edge metrics showed strong potential for identifying high-risk plans. These metrics can guide targeted PSQA, improving workflow efficiency without compromising treatment safety.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/jmp.jmp_195_24
- OA Status
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- References
- 24
- Related Works
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- OpenAlex ID
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https://openalex.org/W4408805109Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/jmp.jmp_195_24Digital Object Identifier
- Title
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Analysis of Aperture-based Complexity Metrics and Their Effect on Patient-specific Quality Assurance in Intensity-modulated Radiation Therapy PlanningWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-01-01Full publication date if available
- Authors
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Dinesh Kumar Saroj, Suresh Yadav, Neetu Paliwal, Ravindra Shende, Gaurav GuptaList of authors in order
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https://doi.org/10.4103/jmp.jmp_195_24Publisher landing page
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
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https://doi.org/10.4103/jmp.jmp_195_24Direct OA link when available
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Quality assurance, Workflow, Metric (unit), Workload, Computer science, Medicine, Medical physics, Operations management, Database, Pathology, External quality assessment, Operating system, EconomicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by-nc-sa |
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| primary_location.raw_source_name | Journal of Medical Physics |
| primary_location.landing_page_url | https://doi.org/10.4103/jmp.jmp_195_24 |
| publication_date | 2025-01-01 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W4211035194, https://openalex.org/W2130736742, https://openalex.org/W2112385297, https://openalex.org/W4320148492, https://openalex.org/W1967121735, https://openalex.org/W2120950852, https://openalex.org/W2791042095, https://openalex.org/W1488102270, https://openalex.org/W2964998168, https://openalex.org/W2966460997, https://openalex.org/W2929904232, https://openalex.org/W2794962342, https://openalex.org/W2887229430, https://openalex.org/W3116258642, https://openalex.org/W2749375587, https://openalex.org/W3045359972, https://openalex.org/W2019425038, https://openalex.org/W1973715126, https://openalex.org/W2017016280, https://openalex.org/W1999640747, https://openalex.org/W2055073594, https://openalex.org/W2959428044, https://openalex.org/W2959785915, https://openalex.org/W2081015756 |
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