Evidence map›Paper›PMID 33458322›Full record

ArticlePhysics and imaging in radiation oncology2020

Delivered dose quantification in prostate radiotherapy using online 3D cine imaging and treatment log files on a combined 1.5T magnetic resonance imaging and linear accelerator system.

Charis Kontaxis, Daan M de Muinck Keizer, Linda G W Kerkmeijer, Thomas Willigenburg, Mariska D den Hartogh, Jochem R N van der Voort van Zyp, Eline N de Groot-van Breugel, Jochem Hes, Bas W Raaymakers, Jan J W Lagendijk and 1 more

Abstract read
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Article in Physics and imaging in radiation oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

  1. Article
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  3. Intra-adaptational changes in online adaptive radiotherapy: from the ideal to the real dose.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  4. Article
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  6. Prostate motion in magnetic resonance imaging-guided radiotherapy and its impact on margins.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
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  18. Assessment of intrafractional prostate motion and its dosimetric impact in MRI-guided online adaptive radiotherapy with gating.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Article
  19. Applicability and usage of dose mapping/accumulation in radiotherapy.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2023
    Review
  20. 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

11 authors.

Charis KontaxisUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Daan M de Muinck KeizerUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Linda G W KerkmeijerUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Thomas WilligenburgUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Mariska D den HartoghUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Jochem R N van der Voort van ZypUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Eline N de Groot-van BreugelUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Jochem HesUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Bas W RaaymakersUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Jan J W LagendijkUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.
Hans C J de BoerUniversity Medical Center Utrecht, Department of Radiotherapy, 3508 GA, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMonitoring the intrafraction motion and its impact on the planned dose distribution is of crucial importance in radiotherapy. In this work we quantify the delivered dose for the first prostate patients treated on a combined 1.5T Magnetic Resonance Imaging (MRI) and linear accelerator system in our clinic based on online 3D cine-MR and treatment log files. MATERIALS AND

methodsA prostate intrafraction motion trace was obtained with a soft-tissue based rigid registration method with six degrees of freedom from 3D cine-MR dynamics with a temporal resolution of 8.5-16.9 s. For each fraction, all dynamics were also registered to the daily MR image used during the online treatment planning, enabling the mapping to this reference point. Moreover, each fraction's treatment log file was used to extract the timestamped machine parameters during delivery and assign it to the appropriate dynamic volume. These partial plans to dynamic volume combinations were calculated and summed to yield the delivered fraction dose. The planned and delivered dose distributions were compared among all patients for a total of 100 fractions.

resultsThe clinical target volume underwent on average a decrease of 2.2% ± 2.9% in terms of D99% coverage while bladder V62Gy was increased by 1.6% ± 2.3% and rectum V62Gy decreased by 0.2% ± 2.2%.

conclusionsThe first MR-linac dose reconstruction results based on prostate tracking from intrafraction 3D cine-MR and treatment log files are presented. Such a pipeline is essential for online adaptation especially as we progress to MRI-guided extremely hypofractionated treatments.

Indexed as

Dose accumulation pipelineIntrafraction cine-MRMR-linacProstate cancerSoft-tissue motion trackingTreatment log files

Identifiers

PMID33458322
PMCPMC7807644

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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.