Evidence map›Paper›PMID 32056218›Full record

ArticleMedical physics2020

Imaging luminescent tattoo inks for direct visualization of linac and cobalt irradiation.

Ethan P M LaRochelle, Jennifer Soter, Leonardo Barrios, Marysia Guzmán, Samuel S Streeter, Jason R Gunn, Suyapa Bejarano, Brian W Pogue

Abstract read
In one paragraph

Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

8 authors.

Ethan P M LaRochelleThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
Jennifer SoterThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
Leonardo BarriosLa Liga Contra el Cáncer, San Pedro Sula, Honduras.
Marysia GuzmánLa Liga Contra el Cáncer, San Pedro Sula, Honduras.
Samuel S StreeterThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
Jason R GunnThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
Suyapa BejaranoLa Liga Contra el Cáncer, San Pedro Sula, Honduras.
Brian W PogueThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Cerenkov excited luminescence sheet imaging (CELSI)R01EB024498 · NIBIB · DARTMOUTH COLLEGE · PI POGUE, BRIAN WILLIAM · 2017 to 2020
$2.2M
NCI NIH HHS P30 CA023108NIBIB NIH HHS R01 EB024498NIH HHS R01 EB024498
6 · The paper itself

Abstract

purposeTattoo fiducials are commonly used in radiotherapy patient alignment, and recent studies have examined the use of UV-excited luminescent tattoo ink as a cosmetic substitute to make these visible under UV illumination. The goal of this study was to show how luminescent tattoo inks could be excited with MV radiation and imaged during beam delivery for direct visualization of field position.

methodsA survey of nine UV-sensitive tattoo inks with various emission spectra were investigated using both UV and MV excitation. Images of liquid solutions were collected under MV excitation using an intensified-CMOS imager. Solid skin-simulating phantoms were imaged with both surface-painted ink and in situ tattooing during dose delivery by both a clinical linear accelerator and cobalt-60 source.

resultsThe UV inks have peak fluorescence emission ranging from approximately 440 to 600 nm with lifetimes near 11-16 μs. The luminescence intensity is approximately 6x higher during the x-ray pulse than after the pulse, however, the signal-to-noise is only approximately twice as large. Spatial resolution for imaging was achieved at 1.6 mm accuracy in a skin test phantom. Optical filtering allows for continuous imaging using a cobalt source and provides a mechanism to discriminate ink colors using a monochromatic image sensor.

conclusionsThis study demonstrates how low-cost inks can be used as fiducial markers and imaged both using time-gated and continuous modes during MV dose delivery. Phantom studies demonstrate the potential application of real-time field verification. Further studies are required to understand if this technique could be used as a tool for radiation dosimetry.

Indexed as

InkLuminescenceParticle AcceleratorsTattooingCobaltFiducial MarkersPhantoms, ImagingRadiotherapy, Image-GuidedUltraviolet RaysCobaltcherenkov imagingfiducial markingfield verificationradiation therapyscintillation imagingtattoo inkUV-sensitive ink

Identifiers

PMID32056218
PMCPMC7198205

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Registered trials

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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.