Evidence map›Paper›PMID 32802578›Full record

ArticleJournal of radiosurgery and SBRT2020

Geometric and dosimetric effects of image co-registration workflows for Gamma Knife frameless radiosurgery.

Emily Hubley, Karen E Mooney, Matthew Schelin, Wenyin Shi, Yan Yu, Haisong Liu

Abstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Emily HubleyDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.
Karen E MooneyDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.
Matthew SchelinDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.
Wenyin ShiDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.
Yan YuDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.
Haisong LiuDepartment of Radiation Oncology Sidney Kimmel Medical College, Thomas Jefferson University, 111 S. 11th St, Philadelphia, PA 19107, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Gamma Knife® Icon™ CBCT facilitates frameless radiosurgery. In the vendor-recommended workflow, MRI is co-registered directly to CBCT for planning. Alternatively, MRI is co-registered to a diagnostic CT, which is then co-registered to CBCT. Our objective is to evaluate if this additional CT is necessary for more accurate registrations. Nine small spherical targets were generated onto 14 patient data-sets. Single-shot treatment plans were created. Geometric and dosimetric differences between the two workflows were determined. Mean target displacement was 0.5±0.3mm; average PTV coverage loss was 4.3±5.0%. For 19 clinical targets in 14 patients, the mean displacement and coverage change was 0.6±0.4mm and 1.3±1.6%. Eleven surrogate landmarks were contoured on a phantom MRI and registered to the CBCT using both workflows. The registration uncertainty was 0.50±0.65mm and 0.32±0.47mm for the MRI-CT-CBCT and MRI-CBCT respectively. As neither workflow was significantly more accurate, the additional CT is unnecessary for most cases.

Indexed as

CBCTco-registrationfractionated radiosurgeryframeless radiosurgeryGamma Knife Icon

Identifiers

PMID32802578
PMCPMC7406343

What OpenQuestion holds

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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.