Evidence map›Paper›PMID 33342070›Full record

ArticleJournal of applied clinical medical physics2021

Clinical validation of ring-mounted halcyon linac for lung SBRT: comparison to SBRT-dedicated C-arm linac treatments.

Damodar Pokhrel, Justin Visak, Lana C Critchfield, Joseph Stephen, Mark E Bernard, Marcus Randall, Mahesh Kudrimoti

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 37 citations in OpenAlex.

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  4. Craniospinal irradiation planning and delivery: a comparison between Halcyon Ring Gantry and TrueBeam C Arm LINAC delivery systems.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
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  18. Letter to the Editor: In Response to Sarkar et al.Journal of applied clinical medical physics · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Damodar PokhrelMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Justin VisakMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Lana C CritchfieldMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Joseph StephenMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Mark E BernardMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Marcus RandallMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
Mahesh KudrimotiMedical Physics Graduate Program, Department of Radiation Medicine, University of Kentucky, Lexington, KY, USA.
University of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stereotactic body radiotherapy (SBRT) of lung tumors via the ring-mounted Halcyon Linac, a fast kilovoltage cone beam CT-guided treatment with coplanar geometry, a single energy 6MV flattening filter free (FFF) beam and volumetric modulated arc therapy (VMAT) is a fast, safe, and feasible treatment modality for selected lung cancer patients. Four-dimensional (4D) CT-based treatment plans were generated using advanced AcurosXB algorithm with heterogeneity corrections using an SBRT board and Halcyon couch insert. Halcyon VMAT-SBRT plans with stacked and staggered multileaf collimators produced highly conformal radiosurgical dose distribution to the target, lower intermediate dose spillage, and similar dose to adjacent organs at risks (OARs) compared to SBRT-dedicated highly conformal clinical noncoplanar Truebeam VMAT plans following the RTOG-0813 requirements. Due to low monitor units per fraction and less multileaf collimator (MLC) modulation, the Halcyon VMAT plan can deliver lung SBRT fractions with an overall treatment time of less than 15 min (for 50 Gy in five fractions), significantly improving patient comfort and clinic workflow. Higher pass rates of quality assurance results demonstrate a more accurate treatment delivery on Halcyon. We have implemented Halcyon for lung SBRT treatment in our clinic. We suggest others use Halcyon for lung SBRT treatments using abdominal compression or 4D CT-based treatment planning, thus expanding the access of curative ultra-hypofractionated treatments to other centers with only a Halcyon Linac. Clinical follow-up results for patients treated on Halcyon Linac with lung SBRT is ongoing.

Indexed as

Lung NeoplasmsRadiosurgeryRadiotherapy, Intensity-ModulatedHumansLungRadiotherapy DosageRadiotherapy Planning, Computer-AssistedAcurosXB AlgorithmCo/Nonplanar GeometryFFF-beamlung SBRTring-mounted HalcyonVMAT

Identifiers

PMID33342070
PMCPMC7856490
OpenAlexW3117709090

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.