2020 Joint AAPM | COMP Virtual Meeting
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Session Title: Automated Planning and Data-Driven Plan Quality Control
Question 1: Data-driven Treatment Plan Quality Control
Reference:Experience-Based Quality Control of Clinical IMRT Planning Moore, Kevin L.; Brame, R. Scott; Low, Daniel A.; Mutic, S.; INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY * BIOLOGY * PHYSICS Volume: 81 Issue: 2 Pages: 545-551
Choice A:Eliminates plans that will fail IMRT QA at the treatment machine
Choice B:Highlights dose calculation errors due to inhomogeneities
Choice C:Guarantees that patients will not receive dose to critical structures that exceeds tolerance levels
Choice D:Eliminates prescription dose from PTV-OAR overlap regions
Choice E:Can flag clinically significant excess dose to critical structures
Question 2: Treatment Plan Quality
Reference:Predicting dose-volume histograms for organs-at-risk in IMRT planning, Appenzoller, Lindsey M.; Michalski, Jeff M.; Thorstad, Wade L.; et al. MEDICAL PHYSICS Volume: 39 Issue: 12 Pages: 7446-7461
Choice A:Cannot be predicted using previously treated patient plans
Choice B:Cannot be improved by retrospective and objective plan review
Choice C:Metrics can be developed using previous plans to alert the user that their current plan is suboptimal
Choice D:Is already standardized throughout the industry and needs no improvement
Choice E:Is always guaranteed when using modern treatment planning systems
Question 3: The minimum number of cases to train an automated planning model can readily be determined based on training validation results?
Reference:McIntosh, C., & Purdie, T. G. (2016). Contextual Atlas Regression Forests: Multiple-Atlas-Based Automated Dose Prediction in Radiation Therapy. IEEE Transactions on Medical Imaging, 35(4), 1000–1012. https://doi.org/10.1109/TMI.2015.2505188
Choice A:True
Choice B:False
Question 4: Which of the following is not a common metrics that be used to validate automated planning results?
Reference:McIntosh, C., & Purdie, T. G. (2016). Contextual Atlas Regression Forests: Multiple-Atlas-Based Automated Dose Prediction in Radiation Therapy. IEEE Transactions on Medical Imaging, 35(4), 1000–1012. https://doi.org/10.1109/TMI.2015.2505188
Choice A:DICE metric
Choice B:areas under the curve from receiver operator curve (ROC)
Choice C:gamma metric
Choice D:mean absolute difference of DVH
Question 5: The purpose of using KBP in multi-institutional trials is to attempt to limit the number of trial participants treated with suboptimal treatment plans:
Reference:Quantifying Unnecessary Normal Tissue Complication Risks due to Suboptimal Planning: A Secondary Study of RTOG 0126; Kevin Moore et al; Int J of Radiation Oncol Biol Phys, Vol 92, No. 2,pp. 228-235, 2015
Choice A:True
Choice B:False
Question 6: Even though the planning target volume (PTV) meets the protocol guidelines, it is possible to utilize the KBP to improve the sparing of organs-at-risk (OAR):
Reference:Tol JP, et al., Analysis of EORTC-1219-DAHANCA-29 trial plans demonstrates the potential of knowledge-based planning to provide patient-specific treatment plan quality assurance. Radiother Oncol 130, pp75-81, 2019.
Choice A:True
Choice B:False
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