Evidence map›Paper›PMID 33903651›Full record

ArticleScientific reports2021

A phantom study to contrast and compare polymer and gold fiducial markers in radiotherapy simulation imaging.

Daryl Lim Joon, Drew Smith, Mark Tacey, Michal Schneider, Benjamin Harris, Wee Loon Ong, Farshad Foroudi, Trish Jenkins, Morikatsu Wada, Michael Chao and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Universal Fiducial Markers for Multi-Modal Radiotherapy.International journal of particle therapy · 2026
    Article
  2. Article
  3. Review
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

12 authors at 3 institutions in 2 countries.

Daryl Lim JoonDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Drew SmithDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Mark TaceyDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Michal SchneiderDepartment of Medical Imaging and Radiation Sciences, Monash University, Clayton, 3800, Australia.
Benjamin HarrisDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Wee Loon OngDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Farshad ForoudiDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Trish JenkinsDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Morikatsu WadaDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Michael ChaoDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Kym RykersDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia.
Vincent KhooDepartment of Radiation Oncology, Newton-John Cancer Centre, Heidelberg, Olivia, 3084, Australia. Vincent.Khoo@rmh.nhs.uk.
Olivia Newton-John Cancer Wellness & Research Centre · AUMonash University · AURoyal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess visibility and artifact characteristics of polymer fiducials compared to standard gold fiducials for radiotherapy CT and MRI simulation. Three gold and three polymer fiducials were inserted into a CT and MRI tissue-equivalent phantom that approximated the prostate cancer radiotherapy configuration. The phantom and fiducials were imaged on CT and MRI. Images were assessed in terms of fiducial visibility and artifact. ImageJ was employed to quantify the pixel gray-scale of each fiducial and artifact. Fiducial gray-scale histograms and profiles were generated for analysis. Objective measurements of the contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR), and artifact index (AI) were calculated. The CT images showed that the gold fiducials are visually brighter, with greater contrast than the polymer. The higher peak values illustrate this in the line profiles. However, they produce bright radiating and dark shadowing artifacts. This is depicted by the greater width of line profiles and the disruption of phantom area profiles. Quantitatively this results in greater percentile ranges of the histograms. Furthermore, for CT, gold had a higher CNR than polymer, relative to the phantom. However, the gold CNR and SNR were degraded by the greater artifact and thus AI. Both fiducials were visible on MRI and had similar histograms and profiles that were also reflected in comparable CNR, SNR and AI. Polymer fiducials were well visualized in a phantom on CT and MR and produce less artifact than the gold fiducials. Polymer markers could enhance the quality and accuracy of radiotherapy co-registration and planning but require clinical confirmation.

Identifiers

PMID33903651
PMCPMC8076319
OpenAlexW3158645869

What OpenQuestion holds

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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.