Evidence map›Paper›PMID 34901474›Full record

ArticlePhysics and imaging in radiation oncology2021

Optimisation and validation of an integrated magnetic resonance imaging-only radiotherapy planning solution.

Laura M O'Connor, Kate Skehan, Jae H Choi, John Simpson, Jarad Martin, Helen Warren-Forward, Jason Dowling, Peter Greer

Open access · goldAbstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Laura M O'ConnorDepartment of Radiation Oncology, Calvary Mater Hospital, Newcastle, NSW, Australia.
Kate SkehanDepartment of Radiation Oncology, Calvary Mater Hospital, Newcastle, NSW, Australia.
Jae H ChoiSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.
John SimpsonDepartment of Radiation Oncology, Calvary Mater Hospital, Newcastle, NSW, Australia.
Jarad MartinDepartment of Radiation Oncology, Calvary Mater Hospital, Newcastle, NSW, Australia.
Helen Warren-ForwardSchool of Health Sciences, University of Newcastle, Newcastle, NSW, Australia.
Jason DowlingSchool of Mathematical and Physical Sciences, University of Newcastle, Newcastle, NSW, Australia.
Peter GreerDepartment of Radiation Oncology, Calvary Mater Hospital, Newcastle, NSW, Australia.
University of Newcastle Australia · AUCalvary Mater Newcastle Hospital · AUCommonwealth Scientific and Industrial Research Organisation · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMagnetic resonance imaging (MRI)-only treatment planning is gaining in popularity in radiation oncology, with various methods available to generate a synthetic computed tomography (sCT) for this purpose. The aim of this study was to validate a sCT generation software for MRI-only radiotherapy planning of male and female pelvic cancers. The secondary aim of this study was to improve dose agreement by applying a derived relative electron and mass density (RED) curve to the sCT. METHOD AND MATERIALS: Computed tomography (CT) and MRI scans of forty patients with pelvic neoplasms were used in the study. Treatment plans were copied from the CT scan to the sCT scan for dose comparison. Dose difference at reference point, 3D gamma comparison and dose volume histogram analysis was used to validate the dose impact of the sCT. The RED values were optimised to improve dose agreement by using a linear plot.

resultsThe average percentage dose difference at isocentre was 1.2% and the mean 3D gamma comparison with a criteria of 1%/1 mm was 84.0% ± 9.7%. The results indicate an inherent systematic difference in the dosimetry of the sCT plans, deriving from the tissue densities. With the adapted RED

conclusionsCT generation software is a viable solution for MRI-only radiotherapy planning. The option makes it relatively easy for departments to implement a MRI-only planning workflow for cancers of male and female pelvic anatomy.

Indexed as

DVH, dose volume histogramHU, Hounsfield UnitICRU, International Commission on Radiation Units and MeasurementsMRI only radiation therapyProstate cancerRadiation therapy treatment planningRadiotherapyRectal cancerRED, Relative electron densitysCT, synthetic computed tomographySynthetic CT

Identifiers

PMID34901474
PMCPMC8640865
OpenAlexW3205326406

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.