Evidence map›Paper›PMID 31878967›Full record

ArticleRadiation oncology (London, England)2019

Fiducial markers visibility and artefacts in prostate cancer radiotherapy multi-modality imaging.

Sarah O S Osman, Emily Russell, Raymond B King, Karen Crowther, Suneil Jain, Cormac McGrath, Alan R Hounsell, Kevin M Prise, Conor K McGarry

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2019. 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
2.7field-weighted citation impact, top 10% 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, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Determination of HU override for gold fiducial markers in proton therapy.Journal of applied clinical medical physics · 2026
    Article
  4. Universal Fiducial Markers for Multi-Modal Radiotherapy.International journal of particle therapy · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Automatic localization of the prostatic urethra for image guided radiation therapy.Technical innovations & patient support in radiation oncology · 2021
    Article
  14. Article
  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

9 authors at 2 institutions in 1 country.

Sarah O S OsmanCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK. s.osman@qub.ac.uk.ORCID http://orcid.org/0000-0001-6103-5870
Emily RussellCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK.
Raymond B KingRadiotherapy Physics, Northern Ireland Cancer Centre, Belfast Health and Social Care Trust, Belfast, UK.
Karen CrowtherRadiotherapy Department, Northern Ireland Cancer Centre, Belfast Health and Social Care Trust, Belfast, UK.
Suneil JainCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK.
Cormac McGrathRadiological Sciences and Imaging, Belfast Health and Social Care Trust, Forster Green Hospital, Belfast, UK.
Alan R HounsellCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK.
Kevin M PriseCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK.
Conor K McGarryCentre of Cancer Research and Cell Biology, Queen's University Belfast, Belfast, Northern Ireland, BT7 1NN, UK.
Queen's University Belfast · GBBelfast Health and Social Care Trust · GB

Funding

Medical Research Council 1934654
6 · The paper itself

Abstract

backgroundIn this study, a novel pelvic phantom was developed and used to assess the visibility and presence of artefacts from different types of commercial fiducial markers (FMs) on multi-modality imaging relevant to prostate cancer. METHODS AND MATERIALS: The phantom was designed with 3D printed hollow cubes in the centre. These cubes were filled with gel to mimic the prostate gland and two parallel PVC rods were used to mimic bones in the pelvic region. Each cube was filled with gelatine and three unique FMs were positioned with a clinically-relevant spatial distribution. The FMs investigated were; Gold Marker (GM) CIVCO, GM RiverPoint, GM Gold Anchor (GA) line and ball shape, and polymer marker (PM) from CIVCO. The phantom was scanned using several imaging modalities typically used to image prostate cancer patients; MRI, CT, CBCT, planar kV-pair, ExacTrac, 6MV, 2.5MV and integrated EPID imaging. The visibility of the markers and any observed artefacts in the phantom were compared to in-vivo scans of prostate cancer patients with FMs.

resultsAll GMs were visible in volumetric scans, however, they also had the most visible artefacts on CT and CBCT scans, with the magnitude of artefacts increasing with FM size. PM FMs had the least visible artefacts in volumetric scans but they were not visible on portal images and had poor visibility on lateral kV images. The smallest diameter GMs (GA) were the most difficult GMs to identify on lateral kV images.

conclusionThe choice between different FMs is also dependent on the adopted IGRT strategy. PM was found to be superior to investigated gold markers in the most commonly used modalities in the management of prostate cancer; CT, CBCT and MRI imaging.

Indexed as

Fiducial MarkersPhantoms, ImagingArtifactsCone-Beam Computed TomographyGoldHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMultimodal ImagingOrgans at RiskProstatic NeoplasmsRadiotherapy DosageRadiotherapy, Image-GuidedRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedGoldArtefactsFiducial markersIGRTMulti-modality imagingPelvic phantomProstate Cancer

Identifiers

PMID31878967
PMCPMC6933910
OpenAlexW2997203706

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.