{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T00:11:11Z","timestamp":1793059871658,"version":"4.5.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012330","name":"Okayama University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012330","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Radiol Phys Technol"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>The advancement of irradiation technology has increased the demand for quality control of radiation therapy equipment. Consequently, the number of quality control items and required personnel have also increased. However, differences in the proportion of qualified personnel to irradiation techniques have caused bias in quality control systems among institutions. To standardize the quality across institutions, researchers should conduct mutual quality control by analyzing the quality control data of one institution at another institution and comparing the results with those of their own institutions. This study uses failure mode and effects analysis (FMEA) to identify potential risks in 12 radiation therapy institutions, compares the results before and after implementation of mutual quality control, and examines the utility of mutual quality control in risk reduction. Furthermore, a cost-effectiveness factor is introduced into FMEA to evaluate the utility of mutual quality control.<\/jats:p>","DOI":"10.1007\/s12194-024-00857-z","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T17:41:23Z","timestamp":1731951683000},"page":"78-85","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Standardization of radiation therapy quality control system through mutual quality control based on failure mode and effects analysis"],"prefix":"10.1007","volume":"18","author":[{"given":"Yuki","family":"Tanimoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8667-6209","authenticated-orcid":false,"given":"Masataka","family":"Oita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunobu","family":"Koshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Ishiwaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Futoshi","family":"Hiramatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihisa","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Ise","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Miyagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinsuke","family":"Okahira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Hamaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Kawaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihiro","family":"Funada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Hiroshige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Mukai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shohei","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuki","family":"Nakahira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Honda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"issue":"10","key":"857_CR1","doi-asserted-by":"publisher","first-page":"e830","DOI":"10.1002\/mp.14992","volume":"48","author":"J Hanley","year":"2021","unstructured":"Hanley J, Dresser S, Simon W, AAPM Task Group, et al. 198 report: an implementation guide for TG 142 quality assurance of medical accelerators. Med Phys. 2021;48(10):e830-85. https:\/\/doi.org\/10.1002\/mp.14992.","journal-title":"Med Phys."},{"issue":"4","key":"857_CR2","doi-asserted-by":"publisher","first-page":"e53","DOI":"10.1002\/mp.12810","volume":"45","author":"M Miften","year":"2018","unstructured":"Miften M, Olch A, Mihailidis D, et al. Tolerance limits and methodologies for IMRT measurement-based verification QA: recommendations of AAPM Task Group No. 218. Med Phys. 2018;45(4):e53-83. https:\/\/doi.org\/10.1002\/mp.12810.","journal-title":"Med Phys."},{"issue":"2","key":"857_CR3","doi-asserted-by":"publisher","first-page":"326","DOI":"10.1016\/j.ijrobp.2009.09.042","volume":"76","author":"L Potters","year":"2010","unstructured":"Potters L, Kavanagh B, Galvin JM, et al. American Society for Therapeutic Radiology and Oncology (ASTRO) and American College of Radiology (ACR) practice guideline for the performance of stereotactic body radiation therapy. Int J Radiat Oncol Biol Phys. 2010;76(2):326\u201332. https:\/\/doi.org\/10.1016\/j.ijrobp.2009.09.042.","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"857_CR4","unstructured":"American College of Radiology. Practice guideline for 3D external beam radiation planning and conformal therapy. https:\/\/www.acr.org\/-\/media\/ACR\/Files\/Practice-Parameters\/3D-Conformal.pdf. Accessed Jul 18, 2023"},{"key":"857_CR5","unstructured":"2001nen-2004nen ni kouhyousareta houshasenchiryou ni okeru goshoushajiko no chousahoukoku no matome [In Japanese]. Jpn Organ Radiother Qual Manag. 2020. https:\/\/www.qcrt.org\/common\/pdf\/accident_report.pdf Accessed Mar 18, 2024."},{"key":"857_CR6","unstructured":"Houshasenchiryou ni okeru daisanshakikan ni yoru shutsuryokusenryousokutei ni kansuru gaidorain 2019 [In Japanese]. Jpn Soc Radiat Oncol. 2019. https:\/\/www.jastro.or.jp\/medicalpersonnel\/guideline\/jastro\/20231129.pdf Accessed Mar 18, 2024."},{"issue":"3","key":"857_CR7","first-page":"88","volume":"40","author":"K Tani","year":"2020","unstructured":"Tani K, Wakita A. Establishment of an on-site dosimetric audit program with a plastic phantom. Jpn J Med Physiol. 2020;40(3):88\u201396.","journal-title":"Jpn J Med Physiol."},{"issue":"12","key":"857_CR8","doi-asserted-by":"publisher","first-page":"1470","DOI":"10.6009\/jjrt.2019_JSRT_75.12.1470","volume":"75","author":"S Kawamura","year":"2019","unstructured":"Kawamura S. The regional collaboration support system promoted by japanese organization of radiotherapy quality management [In Japanese]. Nihon Houshasen Gijutsu Gakkai Zasshi. 2019;75(12):1470\u20136. https:\/\/doi.org\/10.6009\/jjrt.2019_JSRT_75.12.1470.","journal-title":"Nihon Houshasen Gijutsu Gakkai Zasshi"},{"key":"857_CR9","first-page":"32","volume":"256","author":"Y Tanimoto","year":"2022","unstructured":"TanimotoY, Ishiwaki K, Sasaki T, et al. Chugoku-Shikoku guru-pu ni okeru tashisetsusougohinshitsukanritaisei no kouchiku ni mukete no torikumi. Zenkoku Kokuritsu Byouin Ryouyoujo Houshasen Gishikaishi. 2022;256:32\u20137.","journal-title":"Zenkoku Kokuritsu Byouin Ryouyoujo Houshasen Gishikaishi"},{"issue":"4","key":"857_CR10","doi-asserted-by":"publisher","first-page":"1324","DOI":"10.1016\/j.ijrobp.2011.09.019","volume":"83","author":"JR Perks","year":"2012","unstructured":"Perks JR, Stanic S, Stern RL, et al. Failure mode and effect analysis for delivery of lung stereotactic body radiation therapy. Int J Radiat Oncol Biol Phys. 2012;83(4):1324\u20139. https:\/\/doi.org\/10.1016\/j.ijrobp.2011.09.019.","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"6","key":"857_CR11","doi-asserted-by":"publisher","first-page":"2777","DOI":"10.1118\/1.4919440","volume":"42","author":"F Yang","year":"2015","unstructured":"Yang F, Cao N, Young L, et al. Validating FMEA output against incident learning data: a study in stereotactic body radiation therapy. Med Phys. 2015;42(6):2777\u201385. https:\/\/doi.org\/10.1118\/1.4919440.","journal-title":"Med Phys"},{"issue":"9","key":"857_CR12","doi-asserted-by":"publisher","first-page":"4415","DOI":"10.1002\/mp.12278","volume":"44","author":"A Wexler","year":"2017","unstructured":"Wexler A, Gu B, Goddu S, et al. FMEA of manual and automated methods for commissioning a radiotherapy treatment planning system. Med Phys. 2017;44(9):4415\u201325. https:\/\/doi.org\/10.1002\/mp.12278.","journal-title":"Med Phys."},{"issue":"5","key":"857_CR13","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1120\/jacmp.v14i5.4329","volume":"14","author":"S Broggi","year":"2013","unstructured":"Broggi S, Cantone MC, Chiara A, et al. Application of failure mode and effects analysis (FMEA) to pretreatment phases in tomotherapy. J Appl Clin Med Phys. 2013;14(5):265\u201377. https:\/\/doi.org\/10.1120\/jacmp.v14i5.4329.","journal-title":"J Appl Clin Med Phys"},{"issue":"4","key":"857_CR14","doi-asserted-by":"publisher","first-page":"e344","DOI":"10.1016\/j.prro.2022.01.003","volume":"12","author":"KA Nealon","year":"2022","unstructured":"Nealon KA, Balter PA, Douglas RJ, et al. Using failure mode and effects analysis to evaluate risk in the clinical adoption of automated contouring and treatment planning tools. Pract Radiat Oncol. 2022;12(4):e344\u201353. https:\/\/doi.org\/10.1016\/j.prro.2022.01.003.","journal-title":"Pract Radiat Oncol"},{"issue":"7","key":"857_CR15","doi-asserted-by":"publisher","first-page":"4209","DOI":"10.1118\/1.4947547","volume":"43","author":"MS Huq","year":"2016","unstructured":"Huq MS, Fraass BA, Dunscombe PB, et al. The report of Task Group 100 of the AAPM: application of risk analysis methods to radiation therapy quality management. Med Phys. 2016;43(7):4209. https:\/\/doi.org\/10.1118\/1.4947547.","journal-title":"Med Phys"},{"issue":"12","key":"857_CR16","doi-asserted-by":"publisher","first-page":"6466","DOI":"10.1118\/1.3517837","volume":"37","author":"A Sawant","year":"2010","unstructured":"Sawant A, Dieterich S, Svatos M, Keall P. Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems. Med Phys. 2010;37(12):6466\u201379. https:\/\/doi.org\/10.1118\/1.3517837.","journal-title":"Med Phys"},{"issue":"11","key":"857_CR17","doi-asserted-by":"publisher","first-page":"5575","DOI":"10.1002\/mp.12551","volume":"44","author":"JT Faught","year":"2017","unstructured":"Faught JT, Balter PA, Johnson JL, et al. An FMEA evaluation of intensity modulated radiation therapy dose delivery failures at tolerance criteria levels. Med Phys. 2017;44(11):5575\u201383. https:\/\/doi.org\/10.1002\/mp.12551.","journal-title":"Med Phys"},{"issue":"4","key":"857_CR18","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1118\/1.597316","volume":"21","author":"GJ Kutcher","year":"1994","unstructured":"Kutcher GJ, Coia L, Gillin M, et al. Comprehensive QA for radiation oncology: report of AAPM radiation therapy committee task group 40. Med Phys. 1994;21(4):581\u2013618. https:\/\/doi.org\/10.1118\/1.597316.","journal-title":"Med Phys"},{"issue":"9","key":"857_CR19","doi-asserted-by":"publisher","first-page":"4197","DOI":"10.1118\/1.3190392","volume":"36","author":"EE Klein","year":"2009","unstructured":"Klein EE, Hanley J, Bayouth J, et al. Task Group 142 report: quality assurance of medical accelerators. Med Phys. 2009;36(9):4197\u2013212. https:\/\/doi.org\/10.1118\/1.3190392.","journal-title":"Med Phys"},{"issue":"1","key":"857_CR20","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1016\/j.ijrobp.2017.01.035","volume":"98","author":"JC O\u2019Daniel","year":"2017","unstructured":"O\u2019Daniel JC, Yin FF. Quantitative approach to failure mode and effect analysis for linear accelerator quality assurance. Int J Radiat Oncol Biol Phys. 2017;98(1):56\u201362. https:\/\/doi.org\/10.1016\/j.ijrobp.2017.01.035.","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"857_CR21","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.radonc.2019.04.016","volume":"137","author":"Z Xu","year":"2019","unstructured":"Xu Z, Lee S, Albani D, Dobbins D, et al. Evaluating radiotherapy treatment delay using failure mode and effects analysis (FMEA). Radiother Oncol. 2019;137:102\u20139. https:\/\/doi.org\/10.1016\/j.radonc.2019.04.016.","journal-title":"Radiother Oncol"},{"issue":"5","key":"857_CR22","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1111\/1754-9485.12762","volume":"62","author":"H Frewen","year":"2018","unstructured":"Frewen H, Brown E, Jenkins M, O\u2019Donovan A. Failure mode and effects analysis in a paperless radiotherapy department. J Med Imaging Radiat Oncol. 2018;62(5):707\u201315. https:\/\/doi.org\/10.1111\/1754-9485.12762.","journal-title":"J Med Imaging Radiat Oncol"},{"key":"857_CR23","doi-asserted-by":"publisher","DOI":"10.14992\/00015702","author":"T Masuda","year":"2018","unstructured":"Masuda T, Nakamura R, Inoue T, Kitamura Y, Sato A. The effect of independent double check on prevention of human error. Rikkyo Psychol Res. 2018. https:\/\/doi.org\/10.14992\/00015702.","journal-title":"Rikkyo Psychol Res."},{"key":"857_CR24","doi-asserted-by":"publisher","unstructured":"Arima T, Kusano K, Shinmaki, Miyahara K, Chuman Y. Daburutyekku no kent ou. Shoukaki Shudan Kenshin. 1985. https:\/\/doi.org\/10.11404\/jsgcs1982.1985.69_37.","DOI":"10.11404\/jsgcs1982.1985.69_37"},{"key":"857_CR25","doi-asserted-by":"publisher","DOI":"10.24488\/jtwmu.88.Extra1_E35","author":"M Yoshida","year":"2018","unstructured":"Yoshida M. Formulating consensus for the development of clinical practice guidelines using the Delphi method. J Tokyo Womens Med Univ. 2018. https:\/\/doi.org\/10.24488\/jtwmu.88.Extra1_E35.","journal-title":"J Tokyo Womens Med Univ"},{"key":"857_CR26","doi-asserted-by":"crossref","unstructured":"Dalkey N, Brown B, Cochran S (1969) The Delphi method, III: Use of self-ratings to improve group estimates. Rand Corp.","DOI":"10.1016\/0099-3964(70)90029-3"},{"issue":"3","key":"857_CR27","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1038\/bmt.2012.244","volume":"48","author":"Y Kanda","year":"2013","unstructured":"Kanda Y. Investigation of the freely available easy-to-use software \u201cEZR\u201d (Easy R) for medical statistics. Bone Marrow Transplant. 2013;48(3):452\u20138. https:\/\/doi.org\/10.1038\/bmt.2012.244.","journal-title":"Bone Marrow Transplant"},{"key":"857_CR28","doi-asserted-by":"publisher","DOI":"10.5981\/jjhnc.42.368","author":"S Okano","year":"2016","unstructured":"Okano S. Drug therapy for recurrence after chemoradiotherapy [In Japanese]. Head Neck Cancer. 2016. https:\/\/doi.org\/10.5981\/jjhnc.42.368.","journal-title":"Head Neck Cancer"},{"key":"857_CR29","unstructured":"Reiwa 3 Nen chinginkouzoukihontoukeichousa. https:\/\/www.e-stat.go.jp\/stat-search\/files?stat_infid=000032182952. Accessed Jul 31, 2023. Ministry of Health, Labour and Welfare. p. 3"},{"issue":"1 Suppl","key":"857_CR30","doi-asserted-by":"publisher","first-page":"S166","DOI":"10.1016\/j.ijrobp.2007.07.2391","volume":"71","author":"B Thomadsen","year":"2008","unstructured":"Thomadsen B. Critique of traditional quality assurance paradigm. Int J Radiat Oncol Biol Phys. 2008;71(1 Suppl):S166\u20139. https:\/\/doi.org\/10.1016\/j.ijrobp.2007.07.2391.","journal-title":"Int J Radiat Oncol Biol Phys"},{"issue":"11","key":"857_CR31","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.6009\/jjrt.2019_jsrt_75.11.1331","volume":"75","author":"D Iwamoto","year":"2019","unstructured":"Iwamoto D, Fukushima Y, Matsushita N, et al. Incident analysis in radiography focusing on the experience period of radiological technologist [In Japanese]. Houshasen Gijutsu Gakkai Zasshi. 2019;75(11):1331\u20136. https:\/\/doi.org\/10.6009\/jjrt.2019_jsrt_75.11.1331.","journal-title":"Houshasen Gijutsu Gakkai Zasshi"},{"key":"857_CR32","unstructured":"Pylinac. https:\/\/pylinac.readthedocs.io\/ Accessed Jun 20, 2023"},{"key":"857_CR33","unstructured":"PyMedPhys. https:\/\/docs.pymedphys.com\/. Accessed 20 Jun 2023"},{"issue":"5","key":"857_CR34","doi-asserted-by":"publisher","first-page":"3658","DOI":"10.1002\/mp.17033","volume":"51","author":"S Nishioka","year":"2024","unstructured":"Nishioka S, Okamoto H, Chiba T, et al. Technical note: A universal worksheet for failure mode and effects analysis-A project of the Japanese College of Medical Physics. Med Phys. 2024;51(5):3658\u201364. https:\/\/doi.org\/10.1002\/mp.17033.","journal-title":"Med Phys"},{"issue":"1","key":"857_CR35","doi-asserted-by":"publisher","first-page":"2","DOI":"10.11323\/jjmp.36.1_2","volume":"36","author":"N Toyama","year":"2016","unstructured":"Toyama N, Okaymoto H, Nishio T. Questionnaire survey of Japanese medical physicists for working conditions in 2014 [In Japanese]. Jpn J Med Physiol. 2016;36(1):2\u201317. https:\/\/doi.org\/10.11323\/jjmp.36.1_2.","journal-title":"Jpn J Med Physiol"},{"key":"857_CR36","unstructured":"Ganshinryoukyoten no seibi ni tsuite[In Japanese]. https:\/\/www.mhlw.go.jp\/content\/000972176.pdf Accessed Jul 31, 2023. Ministry of Health."}],"container-title":["Radiological Physics and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12194-024-00857-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12194-024-00857-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12194-024-00857-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T16:52:58Z","timestamp":1741020778000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12194-024-00857-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,18]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["857"],"URL":"https:\/\/doi.org\/10.1007\/s12194-024-00857-z","relation":{},"ISSN":["1865-0333","1865-0341"],"issn-type":[{"value":"1865-0333","type":"print"},{"value":"1865-0341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,18]]},"assertion":[{"value":"18 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 October 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 November 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose. Partial financial support was received from NHO Radiological Technologists.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in this study involving human participants were in accordance with the ethical standards of the Institutional Research Committee and the 1964 Helsinki Declaration.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This study did not involve any animal experimentation.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Standards of animal rights"}},{"value":"Informed consent was obtained from all the participants included in the study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}