Publications by authors named "W Crijns"

Introduction: Traffic-light protocols (TLPs) use color codes to standardize image registration and improve interdisciplinary communication in IGRT. Generally, green indicates no relevant anatomical changes, orange signals changes requiring follow-up but does not compromise the current fraction, and red flags unacceptable changes. This study examines the communication aspect, specifically the reporting accuracy for locally advanced non-small-cell lung cancer (LA-NSCLC), and identifies barriers to reporting.

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In this study, we present a model to correct the progressive post-irradiation darkening of EBT3 films. The model allows for a clinical use of EBT3 using application and calibration films scanned with different post-irradiation times.The model is a post-irradiation time- and dose-dependent power-law function, projecting the scanned transmittance of application films to the transmittance matching the same post-irradiation time of calibration films.

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Article Synopsis
  • Radiotherapy treatment planning is shifting towards more automation, similar to the changes seen in the aviation industry, raising concerns about human roles and risks within these automated systems.
  • A working group at the ESTRO Physics Workshop 2023 suggested a framework based on aviation insights, outlining different levels of automation in radiotherapy and their impact on human involvement.
  • Key risks of this automation include complacency and data overload, which necessitate strategies like checklists and proper training to ensure effective human-automation collaboration while maintaining the critical need for human oversight in complex clinical scenarios.*
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Advancements in radiotherapy auto-segmentation necessitate reliable and efficient workflows. Therefore, a standardized fully automatic workflow was developed for three commercially available deep learning-based auto-segmentation applications and compared to a manual workflow for safety and efficiency. The workflow underwent safety evaluation with failure mode and effects analysis.

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In radiotherapy treatment planning, optimization is essential for achieving the most favorable plan by adjusting optimization criteria. This study introduced an innovative approach to automatically fine-tune optimization parameters for volumetric modulated arc therapy prostate planning, ensuring all constraints were met. A knowledge-based planning model was invoked, and the fine-tuning process was applied through an in-house developed script.

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