Implementation of Level-3 Autonomous Patient-Specific Quality Assurance with Automated Human Interactive Devices

Purpose: Patient-specific quality assurance (PSQA) requires manual operation of different workstations, which is time-consuming and error-prone. Therefore, developing automated solutions to improve efficiency and accuracy is a priority. The purpose of this study was to develop a general software interface with scripting on a human interactive device (HID) for improving the efficiency and accuracy of manual quality assurance (QA) procedures. Methods: As an initial application, we aimed to automate our PSQA workflow that involves Varian Eclipse treatment planning system, Elekta MOSAIQ oncology information system and PTW Verisoft application. A general platform, the AutoFrame interface with two imbedded subsystems—the AutoFlow and the PyFlow, was developed with a scripting language for automating human operations of aforementioned systems. The interface included three functional modules: GUI module, UDF script interpreter and TCP/IP communication module. All workstations in the PSQA process were connected, and most manual operations were automated by AutoFrame sequentially or in parallel. Results: More than 20 PSQA tasks were performed both manually and using the developed AutoFrame interface. On average, 175 (±12) manual operations of the PSQA procedure were eliminated and performed by the automated process. The time to complete a PSQA task was 8.23 (±0.78) minutes for the automated workflow, in comparison to 13.91 (±3.01) minutes needed for manual operations. Conclusion: We have developed the AutoFrame interface framework that successfully automated our PSQA procedure, and significantly reduced the time, human (control/clicking/typing) errors, and operators’ stress. Future work will focus on improving the system’s flexibility and stability and extending its operations to other QA procedures.

Evaluation of Patient-Specific Quality Assurance for Carbon Ion Radiotherapy Using Full Energy Scanning Method at QST Hospital

Purpose: Patient-specific QA (PSQA) measurements for carbon ion radiotherapy (CIRT) are critical components of processes designed to identify discrepancies between calculated and delivered doses. We report the results of PSQA conducted at the QST Hospital during the period from September 2017 to March 2018. Methods: We analyzed PSQA results for 1448 fields for 10 disease sites with various target volumes, target depths and number of energy layers. For the PSQA, all the planned beams were recalculated on a water phantom with treatment planning software. The recalculated dose distributions were compared with the measured distributions using a 2D ionization chamber array at three depths, including 95% of the area of the prescription dose. These recalculated dose distributions were evaluated using the 3%/3mm gamma index with a passing threshold of 90%. Results: The passing rates for prostate, head and neck, and bone and soft tissue were 96.8%, 99.3%, and 91.7%, respectively. Additionally, 94.7% of lung plans with low energy beams passed. Overall, the CIRT in the QST Hospital reached a high passing rate of more than 95%. Although the remaining 5% failed to pass, there was no dependence between measurement depth and disease sites in these failures. Conclusion: Using PSQA measurements, we confirmed consistency between the planned and delivered doses for CIRT using the full energy scanning method.

Construction and Practice of Education and Teaching Quality Assurance Systems in Applied Colleges and Universities under the Background of Digital Intelligence

This paper discusses the optimization strategy of education and teaching quality assurance systems in applied colleges and universities under the background of digital intelligence.It first summarizes the relevant theories of digital intelligence transformation and analyzes the impact of digital intelligence transformation on higher education.Secondly,this paper puts forward the principles of constructing the quality assurance system of applied colleges,including strengthening the quality assurance consciousness,improving teachers’digital literacy,and implementing digital intelligence governance.From the practical perspective,this paper expounds on strategies such as optimizing educational teaching resource allocation,constructing a diversified evaluation system of teaching quality,strengthening the construction and training of teaching staff,and innovating teaching management methods.Specific optimization measures are put forward,such as improving policies,regulations,and system guarantees,strengthening cooperation between schools and enterprises,integrating industry,school,and research,building an educational information platform,and improving the monitoring and feedback mechanism of educational quality.

Comparison of pencil beam and Monte Carlo calculations with ion chamber array measurements for patient-specific quality assurance

Objective:To determine under what conditions and criteria comparisons between calculations made with the current clinical treatment planning system(Syngo)and an in-house built TPS(TIMPS)would allow skipping of in-beam portal-specific measurements.Methods:Measurements were made with an array of 24 ion chambers in a water phantom for 227 proton and 313 carbon ion portals with and without a range shifter(RS).These measurements were compared with calculations performed with Syngo and TIMPS using metrics of average dose difference and Gamma index.Results:For proton portals without RS,if a Gamma comparison between TIMPS and Syngo passed using criteria of 90%of tested points being within 3%and 3 mm,then 74%of measurements would agree with both TIMPS and Syngo.For proton portals with RS,more than 80%of measurements would agree with both calculations using the same criteria.For carbon ion portals without RS,if a Gamma evaluation between TIMPS and Syngo passed with criteria of 90%of tested points being within 2%and 2 mm,85%of measurements would agree with both cal-culations.For carbon ion portals with RS,if a Gamma evaluation between TIMPS and Syngo passed with criteria of 90%of tested points being within 3%and 3 mm,60%of measurements would agree with both calculations.Conclusions:Both the pencil beam algorithm in Syngo and the FDC algorithm in TIMPS can provide accurate dose calculations in water for most clinical portals.For about 75%of portals,physicists can perform comparisons of calculations instead of phantom measurements to verify Syngo calculations thereby saving a large amount of beam time.There are some portals,however,such as for low-energy protons without RS and high-energy carbon ions,where agreement between the two calculations and measurements are not yet satisfactory to allow the elimination of all measurements.

A Systematic Approach to Patient-Specific Quality Assurance for Volumetric Modulated Arc Therapy

We developed the first non-commercial treatment planning system for volumetric modulated arc therapy(VMAT) in the United States. Because VMAT involves multi-parameter modulations, it is imperative to develop a comprehensive, rigorous and yet, practical procedure for routine patient-specific quality assurance(QA). In this paper, we presented our own approach as being currently implemented in our institution.Our patient-specific QA procedure involves multi-levels: pre-treatment QA,on-treatment QA, and posttreatment QA. The pre-treatment QA focuses on dosimetry verification, which is done with the commercial Map CHECK in Map PHAN mounted on an isocentric mounting fixture(IMF). This method is also referred to the fixed-gantry technique,i.e., the beams always remain perpendicular to the detector plane. The on-treatment QA involves in vivo optically stimulated luminescent dosimetry(OSLD).Prior to the treatment, two nano Dot TM OSLD dosimeters are placed on the patient abdomen under 1 cm bolus at the isocenter location. The irradiated dosimeters are then read by a nano Dot TM reader and the average reading of the two is calculated. The post-treatment QA involves the analysis of the Dyna Log and DLog files. The Dyna Log is a treatment log file that contains the planned and actual leaf positions at a given gantry angle. The DLog is a treatment log file that contains the planned segmented treatment table(STT) and the corresponding segment boundary samples, i.e., the actual delivered MU and gantry angle increment at each control point.

Innovation and Practice of Internal Quality Assurance System in Higher Education Institutions -- Taking Jingzhou Vocational and Technical College as an Example

Continuously improving the internal quality assurance system and promoting the innovative development of higher vocational education is a challenge that every higher vocational institution must solve on the road of diagnosis and improvement.To address the current dilemma of building internal quality assurance systems in higher education institutions,this study utilizes a case study approach.This study takes Jingzhou Vocational and Technical College as the research object for research.Conclusion:The excellent diagnosis and reform model and the effectiveness of diagnosis and reform in this school can provide new strategic ideas for the practice of diagnosis and reform for the high-quality development of higher education in Hubei.

A novel method for geometric quality assurance of rock joint replicas in direct shear testing-Part 1:Derivation of quality assurance parameters and geometric reproducibility

Since each rock joint is unique by nature,the utilization of replicas in direct shear testing is required to carry out experimental parameter studies.However,information about the ability of the replicas to simulate the shear mechanical behavior of the rock joint and their dispersion in direct shear testing is lacking.With the aim to facilitate generation of high-quality direct shear test data from replicas,a novel component in the testing procedure is introduced by presenting two parameters for geometric quality assurance.The parameters are derived from surface comparisons of three-dimensional(3D)scanning data of the rock joint and its replicas.The first parameter,smf,captures morphological deviations between the replica and the rock joint surfaces.smf is derived as the standard deviation of the deviations between the coordinate points of the replica and the rock joint.Four sources of errors introduced in the replica manufacturing process employed in this study could be identified.These errors could be minimized,yielding replicas with smf
0.06 mm.The second parameter is a vector,VHp100,which describes deviations with respect to the shear direction.It is the projection of the 100 mm long normal vector of the best-fit plane of the replica joint surface to the corresponding plane of the rock joint.

VHp100

was found to be less than or equal to 0.36 mm in this study.Application of these two geometric quality assurance parameters demonstrates that it is possible to manufacture replicas with high geometric similarity to the rock joint.In a subsequent paper(part 2),smf and VHp100 are incorporated in a novel quality assurance method,in which the parameters shall be evaluated prior to direct shear testing.Replicas having parameter values below established thresholds shall have a known and narrow dispersion and imitate the shear mechanical behavior of the rock joint.

A novel method for geometric quality assurance of rock joint replicas in direct shear testing-Part 2:Validation and mechanical replicability

Each rock joint is unique by nature which means that utilization of replicas in direct shear tests is required in experimental parameter studies.However,a method to acquire knowledge about the ability of the replicas to imitate the shear mechanical behavior of the rock joint and their dispersion in direct shear testing is lacking.In this study,a novel method is presented for geometric quality assurance of replicas.The aim is to facilitate generation of high-quality direct shear testing data as a prerequisite for reliable subsequent analyses of the results.In Part 1 of this study,two quality assurance parameters,smf and V_(Hp100),are derived and their usefulness for evaluation of geometric deviations,i.e.geometric reproducibility,is shown.In Part 2,the parameters are validated by showing a correlation between the parameters and the shear mechanical behavior,which qualifies the parameters for usage in the quality assurance method.Unique results from direct shear tests presenting comparisons between replicas and the rock joint show that replicas fulfilling proposed threshold values of σ_(mf)<0.06 mm and
|V_(Hp100)|
<0.2 mm have a narrow dispersion and imitate the shear mechanical behavior of the rock joint in all aspects apart from having a slightly lower peak shear strength.The wear in these replicas,which have similar morphology as the rock joint,is in the same areas as in the rock joint.The wear is slightly larger in the rock joint and therefore the discrepancy in peak shear strength derives from differences in material properties,possibly from differences in toughness.It is shown by application of the suggested method that the quality assured replicas manufactured following the process employed in this study phenomenologically capture the shear strength characteristics,which makes them useful in parameter studies.

Construction and Quality Assurance of Outstanding Applied Horticultural Talent Training Curriculum System under the Background of New Agricultural Science:A Case Study of Huaiyin Institute of Technology

Huaiyin Institute of Technology is taken as the research object.The content of horticulture curriculum system under the background of new agricultural science is constructed and elaborated,including theoretical curriculum system of"three platforms and seven curriculum groups"and practice system of"two platforms,three levels and four modules".Moreover,the quality assurance strategy of the curriculum system is discussed from three angles of enhancing professional emotion,enhancing professional practice and strengthening innovation ability,to reach the training objective of outstanding applied horticultural talents under the background of new agricultural science.

QUALITY ASSURANCE INFORMATION SYSTEM FOR AGILE MANUFACTURING

The customer driven dynamic global market and geographical distribution of collaborating partners bring new challenges to the development of quality assurance information system (QAIS) for agile manufacturing. With recent dramatic advances in information technology, firstly the requirements of QAIS are examined in agile manufacturing environment, then a new implementation framework of a distributed QAIS is presented, where a deve loping environment of QAIS is established and some critical techniques are studied. Finally a prototype system based on world wide web (WWW) is accomplished.

Quality assurance and quality control in the laboratory andrology

Quality assurance （QA） and quality control （QC） are fundamental aspects of any laboratory measurement. However, in comparison with other medical disciplines, the need for QA and QC in laboratory andrology has been recognized only recently. Furthermore, there is evidence that the effort required to undertake QA and QC has not been wholly welcomed by some clinicians. Nevertheless, accrediting bodies and regulatory authorities increasingly require evidence that laboratories have effective QA and QC measures in place because both are central to the quality management processes. Following the publication of the 5th edition of the World Health Organization Laboratory Manual, existing QA and QC systems will need to be updated to take into account some of the methodological changes recommended by the manual. Three of these are discussed in this commentary; they relate to： （i） the move to infer semen volume from its weight; （ii） the re-classification of sperm motility grades from four to three; and （iii） the publication of a lower reference limit for morphology of 4% （with a corresponding 95% confidence interval of 3%-4%）. The importance of QA and QC in all laboratory tests, including up and coming new tests to assess sperm DNA integrity, is discussed. The need for adequate initial training and continuing professional development programmes to support laboratory scientists performing andrology is also described.

A Quality Assurance Procedure and Evaluation of Rainfall Estimates for C-Band Polarimetric Radar

A mobile C-band dual polarimetric weather radar J type （PCDJ）, which adopts simultaneous transmission and simultaneous reception （STSR） of horizontally and vertically polarized signals, was first developed in China in 2008. It was deployed in the radar observation plan in the South China Heavy Rainfall Experiment （SCHeREX） in the summer of 2008 and 2009, as well as in Tropical Western Pacific Ocean Observation Experiments and Research on the Predictability of High Impact Weather Events from 2008 to 2010 in China （TWPOR）. Using the observation data collected in these experiments, the radar systematic error and its sources were analyzed in depth. Meanwhile an algorithm that can smooth differential propagation phase （~Dp） for estimating the high-resolution specific differential phase （KDP） was developed. After attenuation correction of reflectivity in horizontal polarization （ZH） and differential reflectivity （ZDR） of PCDJ radar by means of KDP, the data quality was improved significantly. Using quality-controlled radar data, quantitative rainfall estimation was performed, and the resutls were compared with rain-gauge measurements. A synthetic ZH /KDp-based method was analyzed. The results the traditional ZH-based method when the rain suggest that the synthetic method has the advantage over rate is 〉5 mm h^-1. The more intensive the rain rates, the higher accuracy of the estimation.

Development and Challenge of HIV/AIDS Testing Laboratory Network and Quality Assurance System in China

This paper describes the development and challenge of HIV/AIDS testing laboratory network and quality assurance system in China. At present,the HIV/AIDS testing laboratories includes three classes,the National AIDS Reference Laboratory,HIV/AIDS confirmatory laboratories and HIV/AIDS screening laboratories. All of them are accredited by the health authorities,and each class of laboratories take charge of their function strictly according to the "National Management of HIV/AIDS Detection (2006)". A complete quality assurance and quality control system for HIV/AIDS testing has been developed,which includes technical training,strict laboratory monitoring and approval,examination or proficiency testing on HIV/AIDS detection,and quality evaluation and supervision of HIV/AIDS diagnostic kits. Besides conduct the routine anti-HIV antibody test,more and more laboratories began to conduct other tests,such as CD4+ T lymphocyte cell counting,HIV viral load,HIV DNA PCR,genotyping,drug resistance,and HIV-1 recent infection test. The primary challenges faced by the HIV/AIDS testing laboratory network are in the areas of laboratory management and quality control. For example,the provincial PT program is inefficient,the internal quality control is conducted perfunctorily,personnel training can not met the needs of the workplace,which need to be improved.

Development of the Supply Chain Oriented Quality Assurance System for Aerospace Manufacturing SMEs and Its Implementation Perspectives

Aerospace manufacturing SMEs are continuously facing the challenge on managing their supply chain and complying with the aerospace manufacturing quality standard requirement due to their lack of resources and the nature of business. In this paper, the ERP system based approach is presented to quality control and assurance work in light of seamless integration of in-process production data and information internally and therefore managing suppliers more effectively and efficiently. The Aerospace Manufacturing Quality Assurance Standard （BS/EN9100） is one of the most recognised and essential protocols for developing the industry-operated-and-driven quality assurance systems. The research investigates using the ERP based system as an enabler to implement BS/EN9100 quality management system at manufacturing SMEs and the associated implementation and application perspectives. An application case study on a manufacturing SME is presented by using the SAP based implementation, which helps fiarther evaluate and validate the approach and application system development.

The Quality of Medicines in Community Pharmacies in Riyadh, Saudi Arabia: A Lot Quality Assurance Sampling (LQAS)-Based Survey

Objectives: To classify community pharmacies (CPs) in Riyadh, Saudi Arabia, in terms of the quality of medicines sold by them, using?the lot quality assurance sampling (LQAS) technique with a predefined threshold. Methods: Riyadh CPs were divided into 2 categories (“lots” for the purpose of LQAS), i.e., chain and independent CPs. Upper and lower rate thresholds for CPs that sell low-quality medicines were predefined as 20% and 5%, respectively. Consumer and provider risks were predefined as 0.05 and 0.10, respectively. The calculated number of randomly selected CPs required in each lot was 36;then, sale of low-quality medicines in >3 CPs implies a prevalence of >20% of such CPs according to LQAS. A randomly selected brand of amoxicillin (selected as a quality indicator of medicines because it is both widely counterfeited and heat-sensitive) was purchased from each pharmacy by a “mystery shopper”, checked for authenticity, and analyzed for drug content and content uniformity using a validated HPLC method. Results: Substandard amoxicillin was purchased in 9 pharmacies (4 chains and 5 independent). Both lots were thus rejected as unacceptable, which may indicate that consumers in Riyadh are at risk of purchasing substandard medicines at CPs. Conclusions: The quality of medicines sold in CPs in Riyadh did not meet our acceptability criterion, and appropriate intervention by decision makers is recommended. LQAS proved to be a practical, economical, and statistically valid sampling method for surveying the quality of medicines. It should enable decision makers to allocate resources for improvement more efficiently.

An Effective and Secure Quality Assurance System for a Computer Science Program

Improving the quality assurance (QA) processes and acquiring accreditation are top priorities for academic programs. The learning outcomes (LOs)assessment and continuous quality improvement represent core components ofthe quality assurance system (QAS). Current assessment methods suffer deficiencies related to accuracy and reliability, and they lack well-organized processes forcontinuous improvement planning. Moreover, the absence of automation, andintegration in QA processes forms a major obstacle towards developing efficientquality system. There is a pressing need to adopt security protocols that providerequired security services to safeguard the valuable information processed byQAS as well. This research proposes an effective methodology for LOs assessment and continuous improvement processes. The proposed approach ensuresmore accurate and reliable LOs assessment results and provides systematic wayfor utilizing those results in the continuous quality improvement. This systematicand well-specified QA processes were then utilized to model and implement automated and secure QAS that efficiently performs quality-related processes. Theproposed system adopts two security protocols that provide confidentiality, integrity, and authentication for quality data and reports. The security protocols avoidthe source repudiation, which is important in the quality reporting system. This isachieved through implementing powerful cryptographic algorithms. The QASenables efficient data collection and processing required for analysis and interpretation. It also prepares for the development of datasets that can be used in futureartificial intelligence (AI) researches to support decision making and improve thequality of academic programs. The proposed approach is implemented in a successful real case study for a computer science program. The current study servesscientific programs struggling to achieve academic accreditation, and gives rise tofully automating and integrating the QA processes and adopting modern AI andsecurity technologies to develop effective QAS.

Quality Assuring a Ring Vortex Flow Phantom in Real-Time

Introduction: The ring vortex phantom is a novel, cost-effective prototype which generates complex and well-characterised reference flows in the form of the ring vortex. Although its reproducibility has been demonstrated, with ring speeds routinely behaving within 10% tolerances at speeds of approximately 10 - 70 cm/s, a form of real-time QA of the device at the time of imaging is needed to confirm correct function on demand in any environment. Methods: The technology described here achieves real-time QA, comprising a linear encoder, laser-photodiode array, and Doppler probe, measuring piston motion, ring speed and intra-ring velocity respectively. This instrumentation does not interfere with imaging system QA, but allows QA to be performed on both the ring vortex and the device in real-time. Results: The encoder reports the reliability of the piston velocity profile, whilst ring speed is measured by laser behaviour. Incorporation of a calibrated Doppler probe offers a consistency check that confirms behaviour of the central axial flow. For purposes of gold-standard measurement, all elements can be related to previous Laser PIV acquisitions with the same device settings. Conclusion: Consequently, ring vortex production within tolerances is confirmed by this instrumentation, delivering accurate QA in real-time. This implementation offers a phantom QA procedure that exceeds anything seen in the literature, providing the technology to enhance quantitative assessment of flow imaging modalities.

Big data challenge for monitoring quality in higher education institutions using business intelligence dashboards

As big data becomes an apparent challenge to handle when building a business intelligence(BI)system,there is a motivation to handle this challenging issue in higher education institutions(HEIs).Monitoring quality in HEIs encompasses handling huge amounts of data coming from different sources.This paper reviews big data and analyses the cases from the literature regarding quality assurance(QA)in HEIs.It also outlines a framework that can address the big data challenge in HEIs to handle QA monitoring using BI dashboards and a prototype dashboard is presented in this paper.The dashboard was developed using a utilisation tool to monitor QA in HEIs to provide visual representations of big data.The prototype dashboard enables stakeholders to monitor compliance with QA standards while addressing the big data challenge associated with the substantial volume of data managed by HEIs’QA systems.This paper also outlines how the developed system integrates big data from social media into the monitoring dashboard.

Study on Evaluation of Supplier's Quality Assurance System

To be a worldwide competitor, enterprise needs to e va luate and select its supplier carefully. Generally, to evaluate a supplier, the evaluating effort is focused on the purchase price, delivery time, product quali ty, etc. The vendors’ quality assurance is seldom considered. However, it reflec ts the ability that a vendor can provide high quality but low cost products cont inuously and stably. In this paper, with the study on evaluation of supplier’s q uality assurance system, a set of methods and indices to supplier’s quality assu rance evaluation is introduced. The indices construct an index system, which is based on the ISO9000 series standards. According to the problem’s character and the requirement of evaluation, all the evaluation indices are set off to three k inds: general index, functional index and protective index. And the evaluation m ethod combines quantitative analysis with qualitative analysis. Firstly, a sensi tive factor model is constructed to estimate the contribution of factors that ha ve key effect on synthetic evaluation in supplier’s quality system. Then, those suppliers having low evaluating value are rejected. Secondly, fuzzy logic is int roduced to evaluate other suppliers synthetically. The rest suppliers are compar able. So, supplier’s quality assurance system can be evaluated in quantity. Afte r unification works, the evaluated suppliers can be ranked. And the best vendor can be selected out intuitively.

Establishment of a Quality Assurance System in the Online Monitoring of Electromagnetic Environment of Alternating Current Power Transmission and Transformation Facilities

With the acceleration of urbanization and increase of points in power systems,complaints about power grids have increased.In the actual on-site measurement process,although the actual measurement results can meet the relevant standards,some people are still concerned that the electromagnetic environment may change drastically outside the measurement period,which will have an impact on human health.In this study,the situation of electromagnetic online monitoring systems at home and abroad was introduced firstly,and then some practical requirements for establishing monitoring stations were analyzed.According to existing technologies and related writings,the methods and steps for establishing a quality assurance system were introduced,including the identification of quality assurance system activities and their corresponding structure of quality assurance system documents,the preparation and principles of the documents,and the operation of the quality assurance system.It intends to provide reference for the relevant organizations and personnel conducting electromagnetic environment monitoring when establishing a quality assurance system.Through the establishment of the online monitoring system and the later data publicity,the public have an intuitive understanding of the electromagnetic environment attenuation around power transmission and transformation projects,which can not only make China's electric power industry develop better,but also monitor the unexpected situation in time,maintain public safety and reduce people's fear of electromagnetic radiation in substations.