Evidence map›Paper›PMID 36357294›Full record

ArticleZeitschrift fur medizinische Physik2023

Small field proton irradiation for in vivo studies: Potential and limitations when adapting clinical infrastructure.

Monika Clausen, Sirinya Ruangchan, Arame Sotoudegan, Andreas F Resch, Barbara Knäusl, Hugo Palmans, Dietmar Georg

Abstract read
In one paragraph

Article in Zeitschrift fur medizinische Physik, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Helium pencil beam commissioning and beam modeling.Physics and imaging in radiation oncology · 2026
    Article
  2. Article
  3. 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

7 authors.

Monika ClausenDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria. Electronic address: monika.clausen@meduniwien.ac.at.
Sirinya RuangchanDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria; Division of Therapeutic Radiation and Oncology, Department of Radiology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Arame SotoudeganDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria.
Andreas F ReschDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria.
Barbara KnäuslDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria.
Hugo PalmansDivision of Medical Physics, MedAustron Ion Therapy Center, Wiener Neustadt, Austria; National Physical Laboratory, Teddington, United Kingdom.
Dietmar GeorgDivision of Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria; Division of Medical Physics, MedAustron Ion Therapy Center, Wiener Neustadt, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the dosimetric accuracy for small field proton irradiation relevant for pre-clinical in vivo studies using clinical infrastructure and technology. In this context additional beam collimation and range reduction was implemented. METHODS AND MATERIALS: The clinical proton beam line employing pencil beam scanning (PBS) was adapted for the irradiation of small fields at shallow depths. Cylindrical collimators with apertures of 15, 12, 7 and 5mm as well as two different range shifter types, placed at different distances relative to the target, were tested: a bolus range shifter (BRS) attached to the collimator and a clinical nozzle mounted range shifter (CRS) placed at a distance of 72cm from the collimator. The Monte Carlo (MC) based dose calculation engine implemented in the clinical treatment planning system (TPS) was commissioned for these two additional hardware components. The study was conducted with a phantom and cylindrical target sizes between 2 and 25mm in diameter following a dosimetric end-to-end test concept.

resultsThe setup with the CRS provided a uniform dose distribution across the target. An agreement of better than5% between the planned dose and the measurements was obtained for a target with 3mm diameter (collimator 5mm). A 2mm difference between the collimator and the target diameter (target being 2 mm smaller than the collimator) sufficed to cover the whole target with the planned dose in the setup with CRS. Using the BRS setup (target 8mm, collimator 12mm) resulted in non-homogeneous dose distributions, with a dose discrepancy of up to 10% between the planned and measured doses.

conclusionThe clinical proton infrastructure with adequate beam line adaptations and a state-of-the-art TPS based on MC dose calculations enables small animal irradiations with a high dosimetric precision and accuracy for target sizes down to 3mm.

Indexed as

ProtonsProton TherapyMonte Carlo MethodPhantoms, ImagingRadiotherapy DosageRadiotherapy Planning, Computer-AssistedSynchrotronsProtonsClinical infrastructureCollimatorDosimetryPre-clinical in vivo studiesProton pencil beam scanningSmall field irradiation

Identifiers

PMID36357294
PMCPMC10751703

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.