TY - JOUR
T1 - A national approach for automated collection of standardized and population-based radiation therapy data in Sweden
AU - Nyholm, Tufve
AU - Olsson, Caroline
AU - Agrup, Måns
AU - Björk, Peter
AU - Björk-Eriksson, Thomas
AU - Gagliardi, Giovanna
AU - Grinaker, Hanne
AU - Gunnlaugsson, Adalsteinn
AU - Gustafsson, Anders
AU - Gustafsson, Magnus
AU - Johansson, Bengt
AU - Johnsson, Stefan
AU - Karlsson, Magnus
AU - Fagerström Kristensen, Ingrid
AU - Nilsson, Per
AU - Nyström, Leif
AU - Onjukka, Eva
AU - Reizenstein, Johan
AU - Skönevik, Johan
AU - Söderström, Karin
AU - Valdman, Alexander
AU - Zackrisson, Björn
AU - Montelius, Anders
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Purpose To develop an infrastructure for structured and automated collection of interoperable radiation therapy (RT) data into a national clinical quality registry. Materials and methods The present study was initiated in 2012 with the participation of seven of the 15 hospital departments delivering RT in Sweden. A national RT nomenclature and a database for structured unified storage of RT data at each site (Medical Information Quality Archive, MIQA) have been developed. Aggregated data from the MIQA databases are sent to a national RT registry located on the same IT platform (INCA) as the national clinical cancer registries. Results The suggested naming convention has to date been integrated into the clinical workflow at 12 of 15 sites, and MIQA is installed at six of these. Involvement of the remaining 3/15 RT departments is ongoing, and they are expected to be part of the infrastructure by 2016. RT data collection from ARIA®, Mosaiq®, Eclipse™, and Oncentra® is supported. Manual curation of RT-structure information is needed for approximately 10% of target volumes, but rarely for normal tissue structures, demonstrating a good compliance to the RT nomenclature. Aggregated dose/volume descriptors are calculated based on the information in MIQA and sent to INCA using a dedicated service (MIQA2INCA). Correct linkage of data for each patient to the clinical cancer registries on the INCA platform is assured by the unique Swedish personal identity number. Conclusions An infrastructure for structured and automated prospective collection of syntactically interoperable RT data into a national clinical quality registry for RT data is under implementation. Future developments include adapting MIQA to other treatment modalities (e.g. proton therapy and brachytherapy) and finding strategies to harmonize structure delineations. How the RT registry should comply with domain-specific ontologies such as the Radiation Oncology Ontology (ROO) is under discussion.
AB - Purpose To develop an infrastructure for structured and automated collection of interoperable radiation therapy (RT) data into a national clinical quality registry. Materials and methods The present study was initiated in 2012 with the participation of seven of the 15 hospital departments delivering RT in Sweden. A national RT nomenclature and a database for structured unified storage of RT data at each site (Medical Information Quality Archive, MIQA) have been developed. Aggregated data from the MIQA databases are sent to a national RT registry located on the same IT platform (INCA) as the national clinical cancer registries. Results The suggested naming convention has to date been integrated into the clinical workflow at 12 of 15 sites, and MIQA is installed at six of these. Involvement of the remaining 3/15 RT departments is ongoing, and they are expected to be part of the infrastructure by 2016. RT data collection from ARIA®, Mosaiq®, Eclipse™, and Oncentra® is supported. Manual curation of RT-structure information is needed for approximately 10% of target volumes, but rarely for normal tissue structures, demonstrating a good compliance to the RT nomenclature. Aggregated dose/volume descriptors are calculated based on the information in MIQA and sent to INCA using a dedicated service (MIQA2INCA). Correct linkage of data for each patient to the clinical cancer registries on the INCA platform is assured by the unique Swedish personal identity number. Conclusions An infrastructure for structured and automated prospective collection of syntactically interoperable RT data into a national clinical quality registry for RT data is under implementation. Future developments include adapting MIQA to other treatment modalities (e.g. proton therapy and brachytherapy) and finding strategies to harmonize structure delineations. How the RT registry should comply with domain-specific ontologies such as the Radiation Oncology Ontology (ROO) is under discussion.
KW - Data integration
KW - Data standardization
KW - Medical informatics
KW - Radiation Oncology informatics
KW - Radiation therapy data
UR - http://www.scopus.com/inward/record.url?scp=84973639276&partnerID=8YFLogxK
U2 - 10.1016/j.radonc.2016.04.007
DO - 10.1016/j.radonc.2016.04.007
M3 - Article
C2 - 27102842
AN - SCOPUS:84973639276
SN - 0167-8140
VL - 119
SP - 344
EP - 350
JO - Radiotherapy and Oncology
JF - Radiotherapy and Oncology
IS - 2
ER -
