Evidence map›Paper›PMID 34490095›Full record

ReviewFrontiers in oncology2021

The Clinical Application of 3D-Printed Boluses in Superficial Tumor Radiotherapy.

Xiran Wang, Xuetao Wang, Zhongzheng Xiang, Yuanyuan Zeng, Fang Liu, Bianfei Shao, Tao He, Jiachun Ma, Siting Yu, Lei Liu

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Clinical application of 3D-printed bolus in postmastectomy radiotherapy.Journal of applied clinical medical physics · 2025
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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

10 authors.

Xiran WangDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Xuetao WangDepartment of Radiotherapy, West China Hospital, Sichuan University, Chengdu, China.
Zhongzheng XiangDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Yuanyuan ZengDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Fang LiuDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Bianfei ShaoDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Tao HeDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Jiachun MaDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Siting YuDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.
Lei LiuDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the procedure of radiotherapy for superficial tumors, the key to treatment is to ensure that the skin surface receives an adequate radiation dose. However, due to the presence of the built-up effect of high-energy rays, equivalent tissue compensators (boluses) with appropriate thickness should be placed on the skin surface to increase the target radiation dose. Traditional boluses do not usually fit the skin perfectly. Wet gauze is variable in thickness day to day which results in air gaps between the skin and the bolus. These unwanted but avoidable air gaps lead to a decrease of the radiation dose in the target area and can have a poor effect on the outcome. Three-dimensional (3D) printing, a new rising technology named "additive manufacturing" (AM), could create physical models with specific shapes from digital information by using special materials. It has been favored in many fields because of its advantages, including less waste, low-cost, and individualized design. It is not an exception in the field of radiotherapy, personalized boluses made through 3D printing technology also make up for a number of shortcomings of the traditional commercial bolus. Therefore, an increasing number of researchers have tried to use 3D-printed boluses for clinical applications rather than commercial boluses. Here, we review the 3D-printed bolus's material selection and production process, its clinical applications, and potential radioactive dermatitis. Finally, we discuss some of the challenges that still need to be addressed with the 3D-printed boluses.

Indexed as

cost-effectivenessradiation dermatitisradiotherapysuperficial tumorthree-dimensional bolus

Identifiers

PMID34490095
PMCPMC8416990

What OpenQuestion holds

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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.