Evidence map›Paper›PMID 21304003›Full record

ArticleThe British journal of radiology2011

Radiation protection for an intra-operative X-ray device.

D J Eaton, R Gonzalez, S Duck, M Keshtgar

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Is It Safe to Use a Lead Screen During Hip Arthroscopy?Arthroscopy, sports medicine, and rehabilitation · 2021
    Article
  5. Occupational radiation exposure of orthopedists at different locations during pedicle screw insertion: An anthropomorphic phantom study.Technology and health care : official journal of the European Society for Engineering and Medicine · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Treatment of cervical cancer with electronic brachytherapy.Journal of applied clinical medical physics · 2019
    Article
  10. Article
  11. Present state and issues in IORT Physics.Radiation oncology (London, England) · 2017
    Review
  12. Review
  13. Review
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

D J EatonRadiotherapy Physics, Royal Free Hospital, London, UK. davideaton@nhs.net
R Gonzalez
S Duck
M Keshtgar
The Royal Free Hospital · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTherapeutic partial breast irradiation can be delivered intra-operatively using the Intrabeam 50 kVp compact X-ray device. Spherical applicators are added to the source to give an isotropic radiation dose. The low energy of this unit leads to rapid attenuation with distance, but dose rates are much greater than for diagnostic procedures.

methodsTo investigate the shielding requirements for this unit, attenuation measurements were carried out with manufacturer-provided tungsten-rubber sheets, lead, plasterboard and bricks. A prospective environmental dose rate survey was also conducted in the designated theatre.

resultsAs a result of isotropic geometry, the scattered dose around shielding can be 1% of primary and thus often dominates measured dose rates compared with transmission. The absorbed dose rate of the unshielded source at 1 m was 11.6 mGy h(-1) but this was reduced by 95% with the shielding sheets. Measured values for the common shielding materials were similar to reference data for the attenuation of a 50 kVp diagnostic X-ray beam. Two lead screens were constructed to shield operators remaining in the theatre and an air vent into a service corridor. A lead apron would also provide suitable attenuation, although a screen allows greater flexibility for treatment operators. With these measures, staff doses were reduced to negligible quantities. Survey measurements taken during patient treatments confirmed no additional measures were required, but the theatre should be a controlled area and access restricted.

conclusionResults from this study and reference data can be used for planning other facilities.

Indexed as

Protective DevicesRadiation ProtectionBreast NeoplasmsFemaleHumansIntraoperative PeriodProspective StudiesRadiotherapyRadiotherapy Dosage

Identifiers

PMID21304003
PMCPMC3473704
OpenAlexW2120755680

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.