Evidence map›Paper›PMID 33577091›Full record

ReviewMedical physics2021

Machine QA for the Elekta Unity system: A Report from the Elekta MR-linac consortium.

David A Roberts, Carlos Sandin, Panu T Vesanen, Hannah Lee, Ian M Hanson, Simeon Nill, Thijs Perik, Seng Boh Lim, Sastry Vedam, Jinzhong Yang and 6 more

Open access · hybridAbstract readReview
In one paragraph

Review in Medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
18.9field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.Journal of applied clinical medical physics · 2025
    Guideline
  2. Pooled it
  3. Guideline
  4. Trial
  5. Article
  6. Article
  7. Evaluation of QUASAR Insight Phantom for daily imaging QA of MRgRT linacs.Journal of applied clinical medical physics · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. A virtual phantom for patient-specific QA On A 1.5T MR-linac.Journal of applied clinical medical physics · 2024
    Article
  18. Article
  19. Article
  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

16 authors at 11 institutions in 5 countries.

David A RobertsElekta Limited, Cornerstone, London Road, Crawley, RH10 9BL, United Kingdom.
Carlos SandinElekta Limited, Cornerstone, London Road, Crawley, RH10 9BL, United Kingdom.
Panu T VesanenPhilips Healthcare, Vantaa, Finland.
Hannah LeeAllegheny Health Network Cancer Institute, Pennsylvania, USA.
Ian M HansonThe Joint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, UK.
Simeon NillThe Joint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, UK.
Thijs PerikDepartment of Radiation Oncology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.
Seng Boh LimMemorial Sloan Kettering Cancer Center, New York, USA.
Sastry VedamDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Texas, USA.
Jinzhong YangDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Texas, USA.
Simon W WoodingsDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, the Netherlands.
Jochem W H WolthausDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, the Netherlands.
Brian KellerOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Geoff BudgellChristie Medical Physics and Engineering, The Christie NHS Foundation Trust, Wilmslow Road, Manchester, United Kingdom.
Xinfeng ChenDepartment of Radiation Oncology, Froedtert Hospital and Medical College of Wisconsin, Milwaukee, USA.
X Allen LiDepartment of Radiation Oncology, Froedtert Hospital and Medical College of Wisconsin, Milwaukee, USA.
Elekta (United Kingdom) · GBFroedtert Hospital · USInstitute of Cancer Research · GBThe University of Texas MD Anderson Cancer Center · USUniversity Medical Center Utrecht · NLAllegheny Health Network · USMemorial Sloan Kettering Cancer Center · USPhilips (Finland) · FISunnybrook Health Science Centre · CAThe Christie NHS Foundation Trust · GBThe Netherlands Cancer Institute · NL

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Cancer Research UK C33589/A19727Cancer Research UK C33589/A19908NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Over the last few years, magnetic resonance image-guided radiotherapy systems have been introduced into the clinic, allowing for daily online plan adaption. While quality assurance (QA) is similar to conventional radiotherapy systems, there is a need to introduce or modify measurement techniques. As yet, there is no consensus guidance on the QA equipment and test requirements for such systems. Therefore, this report provides an overview of QA equipment and techniques for mechanical, dosimetric, and imaging performance of such systems and recommendation of the QA procedures, particularly for a 1.5T MR-linac device. An overview of the system design and considerations for QA measurements, particularly the effect of the machine geometry and magnetic field on the radiation beam measurements is given. The effect of the magnetic field on measurement equipment and methods is reviewed to provide a foundation for interpreting measurement results and devising appropriate methods. And lastly, a consensus overview of recommended QA, appropriate methods, and tolerances is provided based on conventional QA protocols. The aim of this consensus work was to provide a foundation for QA protocols, comparative studies of system performance, and for future development of QA protocols and measurement methods.

Indexed as

Quality Assurance, Health CareRadiotherapy, Image-GuidedMagnetic FieldsMagnetic Resonance ImagingParticle AcceleratorsPhantoms, ImagingRadiometryRadiotherapy Planning, Computer-AssisteddosimetryMRI-linacquality assuranceradiotherapy

Identifiers

PMID33577091
PMCPMC8251771
OpenAlexW3128691455

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.