Evidence map›Paper›PMID 34218199›Full record

ArticlePhysica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)2021

First-in-human imaging using a MR-compatible e4D ultrasound probe for motion management of radiotherapy.

Bryan P Bednarz, Sydney Jupitz, Warren Lee, David Mills, Heather Chan, Timothy Fiorillo, James Sabitini, David Shoudy, Aqsa Patel, Jhimli Mitra and 12 more

Abstract read
In one paragraph

Article in Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Bryan P BednarzMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States. Electronic address: bbednarz2@wisc.edu.
Sydney JupitzMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States.
Warren LeeGE Global Research, Niskayuna, NY 12309, United States.
David MillsGE Global Research, Niskayuna, NY 12309, United States.
Heather ChanGE Global Research, Niskayuna, NY 12309, United States.
Timothy FiorilloGE Global Research, Niskayuna, NY 12309, United States.
James SabitiniGE Global Research, Niskayuna, NY 12309, United States.
David ShoudyGE Global Research, Niskayuna, NY 12309, United States.
Aqsa PatelGE Global Research, Niskayuna, NY 12309, United States.
Jhimli MitraGE Global Research, Niskayuna, NY 12309, United States.
Shourya SarcarGE Global Research, Niskayuna, NY 12309, United States.
Bo WangGE Global Research, Niskayuna, NY 12309, United States.
Andrew ShepardMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States; Department of Radiation Oncology, University of Iowa, Iowa City, IA 52242, United States.
Charles MatrosicMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States; Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109, United States.
James HolmesDepartment of Radiology, University of Wisconsin-Madison, Madison, WI 53705, United States.
Wesley CulbersonMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States.
Michael BassettiDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI 53705, United States.
Patrick HillDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI 53705, United States.
Alan McMillanDepartment of Radiology, University of Wisconsin-Madison, Madison, WI 53705, United States.
James ZagzebskiMedical Physics, University of Wisconsin-Madison, Madison, WI 53705, United States.
L Scott SmithGE Global Research, Niskayuna, NY 12309, United States.
Thomas K FooGE Global Research, Niskayuna, NY 12309, United States.

Funding

Real-time Tumor Localization and Guidance for Radiotherapy Using US and MRIR01CA190298 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BEDNARZ, BRYAN PATRICK, FOO, THOMAS K · 2015 to 2019
$3.1M
NCI NIH HHS R01 CA190298
6 · The paper itself

Abstract

purposeRespiration-induced tumor or organ positional changes can impact the accuracy of external beam radiotherapy. Motion management strategies are used to account for these changes during treatment. The authors report on the development, testing, and first-in-human evaluation of an electronic 4D (e4D) MR-compatible ultrasound probe that was designed for hands-free operation in a MR and linear accelerator (LINAC) environment.

methodsUltrasound components were evaluated for MR compatibility. Electromagnetic interference (EMI) shielding was used to enclose the entire probe and a factory-fabricated cable shielded with copper braids was integrated into the probe. A series of simultaneous ultrasound and MR scans were acquired and analyzed in five healthy volunteers.

resultsThe ultrasound probe led to minor susceptibility artifacts in the MR images immediately proximal to the ultrasound probe at a depth of <10 mm. Ultrasound and MR-based motion traces that were derived by tracking the salient motion of endogenous target structures in the superior-inferior (SI) direction demonstrated good concordance (Pearson correlation coefficients of 0.95-0.98) between the ultrasound and MRI datasets.

conclusionWe have demonstrated that our hands-free, e4D probe can acquire ultrasound images during a MR acquisition at frame rates of approximately 4 frames per second (fps) without impacting either the MR or ultrasound image quality. This use of this technology for interventional procedures (e.g. biopsies and drug delivery) and motion compensation during imaging are also being explored.

Indexed as

Magnetic Resonance ImagingRespirationElectronicsHumansMotionPhantoms, ImagingUltrasonographyMotion managementRadiotherapyUltrasound

Identifiers

PMID34218199
PMCPMC8403156

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.