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Biomedical subjects

D P Ragan

Publications and source records attributed to D P Ragan.

7 recordsLinked to original sources

Data management and radiotherapy.

The realization by radiation therapists that computerized patient information is a valuable resource is slowly evolving. The uses of this data include business, quality control, and research applications. Computer applications in these areas have been limited due to the small numbers of patients and the complexity of radiation therapy problems. Reductions in costs and improved programming techniques over the last decade have made information processing computer systems feasible. Measureable progress has been made in the areas of billing and scheduling systems, improved department data handling systems, and increased participation in cooperative groups with increased data handling capability. A review of costs in terms of dollars, time, and effort supports the use of information processing systems in therapy.

Computers

Efficacy of CT-assisted two dimensional treatment planning: analysis of 45 patients.

A method is presented for quantitatively assessing the impact of CT assistance in treatment planning for radiation therapy. A three-phased analysis of treatment plans for 45 patients was undertaken. Nonuniformity and local efficiency of dose delivered were compared without and with the utilization of CT information. Good agreement between the objective assessment of treatment plans and independent subjective optimization of the plans by a radiotherapist support the validity of this technique. On the basis of nonuniformity of dose, 31 of the 45 cases were planned more poorly in the absence of CT information. The addition of CT information permitted optimization by the physician in 25 of the 45 patients. Twenty-three of these showed improved local efficiency (92%). This study indicates that measurable improvements in treatment plans are available by taking advantage of CT information. These were greatest in the brain, lung, and retroperitoneum in this small group of patients.

Computers

Radiotherapy departmental automation.

Cost-effective radiotherapy departmental information systems have been developed to answer a growing need for facility management and clinical research. These systems provide scheduling and management support to improve patient flow, facility utilization, charge capture, quality assurance and clinical studies. Typical data base definition, system utilization and costs are presented.

Costs and Cost Analysis