This analysis evaluates safety in real-time adaptive radiation therapy, suggesting improvements for safer patient journeys.
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.
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Hindmarsh et al. (2026) studied this question.
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