A prospective hazard analysis of real‐time adaptive helical tomotherapy
STPA was effectively used to assess the Radixact Synchrony system's real-time adaptive radiation therapy capabilities, providing insight into how the system could become unsafe throughout the patient journey. While focused on Radixact Synchrony and real-time adaptive radiation therapy, this study offers a transferable example of STPA application, from analysis initialization to mitigation, that can inform other safety assessments in radiation therapy.
Authors
- Paul Keall (ORCID: https://orcid.org/0000-0003-4803-6507)
- Jeremy Booth (ORCID: https://orcid.org/0000-0003-4004-1109)
- Jonathan Hindmarsh (ORCID: https://orcid.org/0009-0004-8861-9445)
- Scott Crowe (ORCID: https://orcid.org/0000-0001-7028-6452)
- Jemma Walsh
- Sonja Dieterich (ORCID: https://orcid.org/0000-0002-9921-4345)
- Tanya Kairn
Institutions
- The University of Sydney (AU)
- Royal Brisbane and Women's Hospital (AU)
- Royal North Shore Hospital (AU)
- Cancer Institute of New South Wales (AU)
- UC Davis Health (US)
Publication Details
- Journal
- Journal of Applied Clinical Medical Physics
- Published
- 2026-01-30
- DOI
- https://doi.org/10.1002/acm2.70478
- Primary Topic
- Advanced Radiotherapy Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00