ArticleTechnical innovations & patient support in radiation oncology2022
Feasibility of surface guided radiotherapy for patient positioning in breast radiotherapy versus conventional tattoo-based setups- a systematic review.
Article in Technical innovations & patient support in radiation oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Surface-guided deep-inspiration breath-hold radiotherapy for left-sided breast cancer: a systematic review and meta-analysis of dosimetric outcomes and image-verified setup accuracy.Frontiers in oncology · 2026Pooled it
- Commissioning and clinical positioning assessment of a novel surface-guided radiation therapy (SGRT) system at a C-Arm linear accelerator.Journal of applied clinical medical physics · 2026Article
- Multiregional assessment of surface guidance for patient positioning in radiotherapy.Technical innovations & patient support in radiation oncology · 2026Article
- Commissioning of LUNA three-dimensional surface-guided radiotherapy in full rotating gantry proton therapy system.International journal of particle therapy · 2026Article
- Accuracy of surface-guided radiotherapy-based positioning and surface tracking in breast radiotherapy using a thermo-optical camera system.Physical and engineering sciences in medicine · 2026Article
- Application value of image-guided radiotherapy in reducing setup errors of head and neck tumors: a retrospective study.American journal of translational research · 2026Article
- Accuracy of Patient Setup Using Surface Guided Radiotherapy (SGRT) for Abdominal Malignancies.Methods and protocols · 2025Article
- Dosimetric evaluation of surface-guided tattoo-free approach for right sided whole-breast irradiation.Journal of applied clinical medical physics · 2025Article
- Workflow evaluation of surface-guided initial patient set-up in radiotherapy.Physics and imaging in radiation oncology · 2025Article
- Setup Accuracy and Efficiency of Real-Time Video Assistance for Surface-Guided Positioning in Radiation Therapy of Right-Sided Locoregional Breast Cancer.Advances in radiation oncology · 2025Article
- Validation of a weekly imaging protocol for tangential whole breast radiation therapy with a tattoo-less surface-guided setup.Technical innovations & patient support in radiation oncology · 2025Article
- Evaluation of tattoo reliability in breast cancer re-irradiation.Technical innovations & patient support in radiation oncology · 2025Article
- New Approaches in Radiotherapy.Cancers · 2025Review
- Tattoo-less chest wall and regional nodal irradiation using surface imaging.Technical innovations & patient support in radiation oncology · 2025Article
- Impact of immobilization system angle, body mass index and breast size on breast radiotherapy accuracy using EPID-only setup.Heliyon · 2025Article
- Clinical Implementation of Cone Beam Computed Tomography-Guided Online Adaptive Radiation Therapy in Whole Breast Irradiation.Advances in radiation oncology · 2025Article
- Prospective Trial on the Impact of Weekly Cone Beam Computed Tomography-Guided Correction on Mean Heart Dose in Breast Cancer Breath-Hold Radiation Therapy.Advances in radiation oncology · 2024Article
- Impact of deep inspiration breath hold, surface-guided radiotherapy, and daily CBCT on the organs at risk in breast cancer radiotherapy.Scientific reports · 2024Article
- Surface guided ring gantry radiotherapy in deep inspiration breath hold for breast cancer patients.Journal of applied clinical medical physics · 2024Article
- Development of a phantom for assessing the precision of setup in skin mark-less surface-guided radiotherapy.Journal of applied clinical medical physics · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Traditionally tattoos are used for patient setup in radiotherapy. However they may pose challenges for the radiotherapists to achieve precise patient alignment, and serve as a permanent visual reminder of the patient's diagnosis and often challenging cancer journey. The psychological impact of tattoos has been recognized in recent years. The increasing complexity of treatment techniques and the utilization of hypofractionated regimes, requires an enhanced level of accuracy and safety. Surface guided radiotherapy (SGRT) enables improvements in the accuracy and reproducibility of patient isocentric and postural alignment, enhanced efficiency, and safety in breast radiotherapy. Purpose: The aim of this review was to compare the accuracy and reproducibility of SGRT to conventional tattoo-based setups in free-breathing breast radiotherapy and to determine if SGRT can reduce the frequency of routine image guided radiotherapy (IGRT). Materials and Methods: A systematic literature review was performed as per PRISMA guidelines. Papers identified through PubMed, Embase, Web of Science and Google Scholar database searches between 2010 and 2021, were critically appraised. Systematic, random, mean residual errors and 3D vector shifts as determined by IGRT verification were analysed. Results: A review of 13 full papers suggests SGRT improves the accuracy and reproducibility of patient setup in breast radiotherapy with consistent reductions in the residual errors. There appears to be a good correlation between SGRT setups and radiographic imaging. The frequency of IGRT and the corresponding dose could potentially be reduced. Additionally, SGRT improves treatment efficiency. Conclusion: SGRT appears to have improved the accuracy and reproducibility of patient setup and treatment efficiency of breast radiotherapy compared to conventional tattoo/laser-based method, with the potential to reduce the frequency of routine IGRT. The reliance on tattoos in breast radiotherapy are likely to become obsolete with positive implications for both patients and clinical practice.
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Registered trials
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.