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Taxonomies and Severity Scales

Incident Learning Systems» SAFRON and AAPM »

Taxonomy Review

Exercise 3: Severity

Medical and dosimetric scores do not directly

address the issue of geometric misses? How would

you report a geometric miss?

Yes

No

Ignore geometric misses – they are too difficult to quantify

Record the largest dose deviation in the PTV or Organ at Risk

Only record if an OAR dose limit were exceeded

Error in mm in the position of the field central ray with respect to patient anatomy

Error in mm of any field edge

Use a metric which combines dose and volume information such as EUD