The Atlas of Complication Incidence: A Proposal for a New Standard for Reporting the Results of Radiotherapy Protocols

Andrew Jackson, Ellen D. Yorke, Kenneth E. Rosenzweig

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

We present a new method of reporting the results of radiotherapy protocols. The dose-volume atlas of complication incidence is a comprehensive and unbiased summary of the dose-volume exposures and complications occurring in patients after treatment. This new tool provides clear and systematic information about the safety of regions of dose-volume exposure previously treated that can be used when considering new treatments. Actuarial and model-dependent versions of the atlas are described. By using the raw data in the appropriate forms of the atlas, logistic regression, Kaplan-Meier, and Cox proportional hazards analysis can be performed, allowing for the independent calculation of dose-volume response. The data required are simple enough that provided compatible definitions of dose, volume, and complications are used, atlases from different protocols are potentially additive, facilitating the meta-analysis of inter-interinstitutional data. If this method were adopted as a standard for reporting the outcome of treatment protocols, a potentially synergistic increase in the utility of each protocol could result.

Original languageEnglish
Pages (from-to)260-268
Number of pages9
JournalSeminars in Radiation Oncology
Volume16
Issue number4
DOIs
StatePublished - Oct 2006
Externally publishedYes

Keywords

  • DVH
  • atlas
  • complication incidence
  • reporting outcome
  • standards

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