ReviewThe British journal of radiology2019
Complexity metrics for IMRT and VMAT plans: a review of current literature and applications.
Review in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.
What it found
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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.
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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.
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Who cites it
76 citing papers in PubMed.
- Automated treatment planning as a dose escalation strategy for stereotactic radiation therapy in pancreatic cancer.Journal of applied clinical medical physics · 2020Trial
- Fast fourier transform based spectral features for machine learning prediction of gamma passing rates in virtual VMAT PSQA: A feasibility study.Journal of applied clinical medical physics · 2026Article
- Integration of an echocardiographic motion-management system into photon-based stereotactic arrhythmia radioablation planning.Physics and imaging in radiation oncology · 2026Article
- A rule-based, feedback-driven framework for fully automated prostate VMAT planning.Journal of applied clinical medical physics · 2026Article
- Dynamic modulated arc therapy (DMAT): A time-aware, modulation-steered optimization framework for next-generation radiotherapy delivery.Journal of applied clinical medical physics · 2026Article
- Predicting VMAT patient-specific quality assurance outcome using a machine learning workflow.Physical and engineering sciences in medicine · 2026Article
- Multi-TPS institutional surveillance of VMAT plan complexity and PSQA results over three years.Journal of applied clinical medical physics · 2026Article
- Evaluating the role of plan complexity metrics in online adaptive radiotherapy for pancreatic cancer patients.Medical physics · 2026Article
- Article
- Prediction of VMAT gamma passing rates using 3D CNNs based on leaf position analysis and gradient class activation mapping for plan complexity evaluation.Medical physics · 2026Article
- The impact of collimator angle and increment on volumetric modulated arc therapy after modified radical mastectomy for breast cancer.Scientific reports · 2026Article
- A simulation study of a novel spiral volumetric modulated arc therapy for enhanced dose delivery efficiency and quality in radiotherapy.Medical physics · 2026Article
- Dosimetric benefits of half-field arc in prostate cancer treatment.Physical and engineering sciences in medicine · 2026Article
- Volumetric Modulated Arc Therapy Versus Dynamic Conformal Arc Therapy for Single Isocenter Stereotactic Radiotherapy of Multiple Brain Metastases.Bioengineering (Basel, Switzerland) · 2026Article
- A Multidimensional Assessment of the Aperture Shape Controller in VMAT for Ca Tongue: Implications for Plan Complexity and Quality Assurance.Asian Pacific journal of cancer prevention : APJCP · 2026Article
- The smoothing factor in breast intensity-modulated radiotherapy: dosimetric impact and a predictive model of plan acceptability.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026Article
- Quantification of the aperture modulation in radiotherapy treatment plans.Medical physics · 2025Article
- Towards quantitative ionizing radiation acoustic imaging (iRAI) for radiation dose measurement: Validation from simulations to experiments.Medical physics · 2025Article
- A Time-Series Approach for Machine Learning-Based Patient-Specific Quality Assurance of Radiosurgery Plans.Bioengineering (Basel, Switzerland) · 2025Article
- Classification performances of two diode arrays for patient-specific quality assurance of stereotactic body radiation therapy treatments based on absolute dose measurements in phantom.Journal of applied clinical medical physics · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Modulated radiotherapy with multileaf collimators is widely used to improve target conformity and normal tissue sparing. This introduced an additional degree of complexity, studied by multiple teams through different properties. Three categories of complexity metrics were considered in this review: fluence, deliverability and accuracy metrics. The first part of this review is dedicated to the inventory of these complexity metrics. Different applications of these metrics emerged. Influencing the optimizer by integrating complexity metrics into the cost function has been little explored and requires more investigations. In modern treatment planning system, it remains confined to MUs or treatment time limitation. A large majority of studies calculated metrics only for analysis, without plan modification. The main application was to streamline the patient specific quality assurance workload, investigating the capability of complexity metrics to predict patient specific quality assurance results. Additionally complexity metrics were used to analyze behaviour of TPS optimizer, compare TPS, operators and plan properties, and perform multicentre audit. Their potential was also explored in the context of adaptive radiotherapy and automation planning. The second part of the review gives an overview of these studies based on the complexity metrics.
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Registered trials
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.