Achievement Of Indicators Research Articles

Study the Quality of IMRT and VMAT Treatment Planning Techniques (TPS) Using Indices of Achievement (IOA) Nasopharyngeal Cancer Plans

Volumetric Modulated Arc Therapy (VMAT) and Intensity Modulated Radiation Therapy (IMRT) are comparable for nasopharyngeal cancerous radiation therapy. This research intends to analyze the high-quality plan using accomplishment, conformance, and homogeneity criteria. The study involved 40 patients with a postnasal cancerous tumor. The patients underwent computed tomography (CT) simulation to scan the anatomical details of the patients' heads. Then, their data was forwarded to the treatment planning system (TPS) workstation for IMRT and VMAT planning. The plans were evaluated using the IOA, HI, and CI indices. The nasopharynx coverage results consist of the GTV and PTV at 95%. The statistical study reveals that VMAT provides much more coverage than IMRT for 95% GTV and 95% PTV. The results reveal that VMAT has a substantially better-quality plan (IOA) than IMRT. IMRT provides a superior CI, but VMAT protects the cochlea and optic nerves more effectively. In addition, the IMRT is advantageous for the preservation of additional OARs. There is no statistical difference in protection for the mandible and parotid glands between the two procedures. The VMAT has superior coverage for the gross and planned target volumes and achievement indices. The conformity of IMRT in the tumor target area is better, while VMAT can better protect the cochlea and optic nerves.

Equity assessment of childhood immunisation at national and subnational levels in Myanmar: a benefit incidence analysis

IntroductionMyanmar, a conflict-affected geographically and ethnically diverse lower middle-income country, was in the donor transition phase for health prior to the political unrest of the last year. This study analyses...

THE EFFECT OF LEARNING MOTIVATION AND PARENTS’ ROLE ON THE ACHIEVEMENT INDEX IN PGMI STUDENTS' ONLINE LEARNING

Abstract
 COVID-19 became a problem in Indonesia, especially in education. The whole educational level ranging from basic to higher education is required to learn from home or online. This study aimed to find: (1) the learning motivation effect on the Achievement Index (AI), (2) the parents’role effect on AI, and (3) the interaction of learning motivation and parents’ role in AI. This research used a descriptive quantitative method with a google form survey approach. The sample in this study was 154 students of PGMI study program for the even semester in 2020/2021. The analysis technique used was multiple linear regression analysis to test three hypotheses. The results showed that: (1) there was an influence of learning motivation on students' AI, (2) there was an influence of parents' role on AI, and (3) there was an interaction between learning motivation and parents' role in students' AI.

Interdisciplinary groups perception on impact of technology: A study in Petro-Chemical sector

Abstract In today’s competitive business environment firms who can afford to invest on superior technology are in general found to be more efficient. In technology driven industries companies tend to encash upon the benefits of the superior technology, engage in continuous innovation and invest in R&D to gain competitive advantage. Notwithstanding this phenomenon, adoption of superior technology by any industry is extremely challenging. Even, Small and Medium size Enterprises (SMEs) in a developing country are often incapable of adopting the latest technology. Because they are expensive and moreover it leads to disruption to the traditional way of doing business and even different managerial functions differ on the adoption of technology. This research paper collected perception regarding impact of technology by three broad managerial functions such as Operations, Marketing, Product development & Innovation of a large Petrochemical company. With the help of Conjoint Analysis, Part worth and Ideal Achievement Index (AI) have been estimated. These estimates enable us to assess the perception of three inter disciplinary managerial groups regarding impact of technology on the downstream units (nearly 500 companies) of a Petro-Chemical Company in India.

To propose adding index of achievement (IOA) to IMRT QA process

BackgroundIn intensity modulated radiation therapy (IMRT) quality assurance (QA), evaluation of QA result using a pass/non-pass strategy under an acceptance criterion often suffers from lack of information on how good the plan is in absolute manner. In this study, we suggested adding an index system, previously developed for dose painting technique, to current IMRT QA process for better understanding of QA result.MethodsThe index system consists of three indices, index of achievement (IOA), index of hotness (IOH) and index of coldness (IOC). As indicated by its name, IOA does measure the level of agreement. IOH and IOC, on the other hand, measure the magnitude of overdose and underdose, respectively. A systematic analysis was performed with three 1-dimensional hypothetical dose distributions to investigate the characteristics of the index system. The feasibility of the system was also assessed with clinical volumetric modulated arc therapy (VMAT) QA cases from 8 head & neck and 5 prostate patients. In both simulation studies, certain amount of errors was intentionally induced to each dose distribution. Furthermore, we applied the proposed system to compare calculated with actual measured data for a total of 60 patients (30 head & neck and 30 prostate cases). QA analysis was made using both the index system and gamma method, and results were compared.ResultsWhile the gamma evaluation showed limited sensitivity in evaluating QA result depending on the level of tolerance criteria used, the proposed indices tended to better distinguish plans in terms of the amount of errors. Hotness and coldness of prescribed dose in the plan could be evaluated quantitatively by the indices.ConclusionsThe proposed index system provides information with which IMRT QA result would be better evaluated, especially when gamma pass rates are identical or similar among multiple plans. In addition, the independency of the index system on acceptance criteria would help making clear communications among readers of published articles and researchers in multi-institutional studies.

SU-E-J-110: Dosimetric Analysis of Respiratory Motion Based On Four-Dimensional Dose Accumulation in Liver Stereotactic Body Radiotherapy

Purpose: Respiratory motion in thoracic and abdominal region could lead to significant underdosing of target and increased dose to healthy tissues. The aim of this study is to evaluate the dosimetric effect of respiratory motion in conventional 3D dose by comparing 4D deformable dose in liver stereotactic body radiotherapy (SBRT). Methods: Five patients who had previously treated liver SBRT were included in this study. Four-dimensional computed tomography (4DCT) images with 10 phases for all patients were acquired on multi-slice CT scanner (Siemens, Somatom definition). Conventional 3D planning was performed using the average intensity projection (AIP) images. 4D dose accumulation was calculated by summation of dose distribution for all phase images of 4DCT using deformable image registration (DIR) . The target volume and normal organs dose were evaluated with the 4D dose and compared with those from 3D dose. And also, Index of achievement (IOA) which assesses the consistency between planned dose and prescription dose was used to compare target dose distribution between 3D and 4D dose. Results: Although the 3D dose calculation considered the moving target coverage, significant differences of various dosimetric parameters between 4D and 3D dose were observed in normal organs and PTV. The conventional 3D dose overestimatedmore » dose to PTV, however, there was no significant difference for GTV. The average difference of IOA which become ‘1’ in an ideal case was 3.2% in PTV. The average difference of liver and duodenum was 5% and 16% respectively. Conclusion: 4D dose accumulation which can provide dosimetric effect of respiratory motion has a possibility to predict the more accurate delivered dose to target and normal organs and improve treatment accuracy. This work was supported by the Radiation Technology R&D program (No. 2013M2A2A7043498) and the Mid-career Researcher Program (2014R1A2A1A10050270) through the National Research Foundation of Korea funded by the Ministry of Science, ICT&Future Planning (MSIP) of Korea.« less

A new plan quality index for dose painting radiotherapy.

Dose painting radiotherapy is considered a promising radiotherapy technology that enables more targeted dose delivery to tumor rich regions while saving critical normal tissues. Obviously, dose painting planning would be more complicated and hard to be evaluated with current plan quality index systems that were developed under the paradigm of uniform dose prescription. In this study, we introduce a new plan quality index, named “index of achievement (IOA)” that assesses how close the planned dose distribution is to the prescribed one in a dose painting radiotherapy plan. By using voxel‐based comparison between planned and prescribed dose distributions in its formulation, the index allows for a single‐value evaluation regardless of the number of prescribed dose levels, which cannot be achieved with the conventional indices such as conventional homogeneity index. Benchmark calculations using patient data demonstrated feasibility of the index not only for contour‐based dose painting plans, but also for dose painting by numbers plans. Also, it was shown that there is strong correlation between the new index and conventional indices, which indicates a potential of the new index as an alternative to conventional ones in general radiotherapy plan evaluation.PACS number: 87.55.D‐