Evidence map›Paper›PMID 35525993›Full record

ArticleRadiation oncology (London, England)2022

Developing an accurate model of spot-scanning treatment delivery time and sequence for a compact superconducting synchrocyclotron proton therapy system.

Lewei Zhao, Gang Liu, Shupeng Chen, Jiajian Shen, Weili Zheng, An Qin, Di Yan, Xiaoqiang Li, Xuanfeng Ding

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 44 citations in OpenAlex.

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  6. Ionizing radiation acoustic beam localization: one step towards "proton surgery".medRxiv : the preprint server for health sciences · 2026
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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

9 authors at 2 institutions in 2 countries.

Lewei Zhao *Department of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Gang Liu *Department of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Shupeng ChenDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Jiajian ShenDepartment of Radiation Oncology, Mayo Clinic Arizona, Phoenix, AZ, 85054, USA.
Weili ZhengDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
An QinDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Di YanDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Xiaoqiang LiDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA.
Xuanfeng DingDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, MI, 48073, USA. xuanfeng.ding@beaumont.org.
Beaumont Health · USMayo Clinic Hospital · US

Funding

Beaumont Health System Beaumont Seed grant award
6 · The paper itself

Abstract

backgroundA new compact superconducting synchrocyclotron single-room proton solution delivers pulsed proton beams to each spot through several irradiation bursts calculated by an iterative layer delivery algorithm. Such a mechanism results in a new beam parameter, burst switching time (BST) in the total beam delivery time (BDT) which has never been studied before. In this study, we propose an experimental approach to build an accurate BDT and sequence prediction model for this new proton solution.

methodsTest fields and clinical treatment plans were used to investigate each beam delivery parameter that impacted BDT. The machine delivery log files were retrospectively analyzed to quantitatively model energy layer switching time (ELST), spot switching time (SSWT), spot spill time (SSPT), and BST. A total of 102 clinical IMPT treatment fields' log files were processed to validate the accuracy of the BDT prediction model in comparison with the result from the current commercial system. Interplay effect is also investigated as a clinical application by comparing this new delivery system model with a conventional cyclotron accelerator model.

resultsThe study finds that BST depends on the amount of data to be transmitted between two sequential radiation bursts, including a machine irradiation log file of the previous burst and a command file to instruct the proton system to deliver the next burst. The 102 clinical treatment fields showed that the accuracy of each component of the BDT matches well between machine log files and BDT prediction model. More specifically, the difference of ELST, SSWT, SSPT, and BST were (- 3.1 ± 5.7)%, (5.9 ± 3.9)%, (2.6 ± 8.7)%, and (- 2.3 ± 5.3)%, respectively. The average total BDT was about (2.1 ± 3.0)% difference compared to the treatment log files, which was significantly improved from the current commercial proton system prediction (58 ± 15)%. Compared to the conventional cyclotron system, the burst technique from synchrocyclotron effectively reduced the interplay effect in mobile tumor treatment.

conclusionAn accurate BDT and sequence prediction model was established for this new clinical compact superconducting synchrocyclotron single-room proton solution. Its application could help users of similar facilities better assess the interplay effect and estimate daily patient treatment throughput.

Indexed as

Proton TherapyCyclotronsHumansProtonsRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRetrospective StudiesProtonsBurst switchingProton beamTime prediction

Identifiers

PMID35525993
PMCPMC9077949
OpenAlexW4229058742

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.