Evidence map›Paper›PMID 30565856›Full record

ArticleJournal of applied clinical medical physics2019

Quality assurance of Cyberknife robotic stereotactic radiosurgery using an angularly independent silicon detector.

Sultan Fahad Alhujaili, Giordano Biasi, Faisal Alzorkany, Garry Grogan, Muhammed A Al Kafi, Jonathan Lane, Benjamin Hug, Abdullah H Aldosari, Sami Alshaikh, Pejman Rowshan Farzad and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

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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

14 authors at 7 institutions in 3 countries.

Sultan Fahad AlhujailiCentre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia.
Giordano BiasiCentre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia.
Faisal AlzorkanyBiomedical Physics Department, Research Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Garry GroganDepartment of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.
Muhammed A Al KafiBiomedical Physics Department, Research Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Jonathan LaneDepartment of Medical Physics and Clinical Engineering, Oxford University Hospitals NHS Foundation Trust (Churchill Hospital), Oxford, UK.
Benjamin HugDepartment of Radiation Oncology, Sir Charles Gairdner Hospital, Perth, WA, Australia.
Abdullah H AldosariMinistry of Health, Riyadh, Saudi Arabia.
Sami AlshaikhMinistry of Health, Riyadh, Saudi Arabia.
Pejman Rowshan FarzadSchool of Physics and Astrophysics, University of Western Australia, Perth, WA, Australia.
Martin A EbertCentre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia.
Belal MoftahBiomedical Physics Department, Research Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Anatoly B RosenfeldCentre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia.
Marco PetaseccaCentre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia.
King Faisal Specialist Hospital & Research Centre · SAUniversity of Wollongong · AUMinistry of Health · SASir Charles Gairdner Hospital · AUUniversity of Western Australia · AUAl Jouf University · SAChurchill Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this work was to evaluate the use of an angularly independent silicon detector (edgeless diodes) developed for dosimetry in megavoltage radiotherapy for Cyberknife in a phantom and for patient quality assurance (QA).

methodThe characterization of the edgeless diodes has been performed on Cyberknife with fixed and IRIS collimators. The edgeless diode probes were tested in terms of basic QA parameters such as measurements of tissue-phantom ratio (TPR), output factor and off-axis ratio. The measurements were performed in both water and water-equivalent phantoms. In addition, three patient-specific plans have been delivered to a lung phantom with and without motion and dose measurements have been performed to verify the ability of the diodes to work as patient-specific QA devices. The data obtained by the edgeless diodes have been compared to PTW 60016, SN edge, PinPoint ionization chamber, Gafchromic EBT3 film, and treatment planning system (TPS).

resultsThe TPR measurement performed by the edgeless diodes show agreement within 2.2% with data obtained with PTW 60016 diode for all the field sizes. Output factor agrees within 2.6% with that measured by SN EDGE diodes corrected for their field size dependence. The beam profiles' measurements of edgeless diodes match SN EDGE diodes with a measured full width half maximum (FWHM) within 2.3% and penumbra widths within 0.148 mm. Patient-specific QA measurements demonstrate an agreement within 4.72% in comparison with TPS.

conclusionThe edgeless diodes have been proved to be an excellent candidate for machine and patient QA for Cyberknife reproducing commercial dosimetry device measurements without need of angular dependence corrections. However, further investigation is required to evaluate the effect of their dose rate dependence on complex brain cancer dose verification.

Indexed as

Phantoms, ImagingHumansNeoplasmsOrgans at RiskQuality Assurance, Health CareRadiometryRadiosurgeryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRobotic Surgical Proceduresangular dependencecyberknifesilicon detectorsmall field dosimetrystereotactic radiosurgery

Identifiers

PMID30565856
PMCPMC6333148
OpenAlexW2904296501

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.