Evidence map›Paper›PMID 37528747›Full record

ArticleJournal of applied clinical medical physics2023

Angular correction methodology and characterization of a high-resolution CMOS array for patient specific quality assurance on a robotic arm linac.

Muhammad Ramish Ashraf, Jochen Krimmer, Laszlo Zalavri, Xuejun Gu, Lei Wang, Cynthia Fu-Yu Chuang

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.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

6 authors at 2 institutions in 1 country.

Muhammad Ramish AshrafDepartment of Radiation Oncology, Stanford University, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-4738-7359
Jochen KrimmerIBA Dosimetry GmbH, Schwarzenbruck, Germany.
Laszlo ZalavriDepartment of Radiation Oncology, Stanford University, Palo Alto, California, USA.
Xuejun GuDepartment of Radiation Oncology, Stanford University, Palo Alto, California, USA.
Lei WangDepartment of Radiation Oncology, Stanford University, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-6072-1446
Cynthia Fu-Yu ChuangDepartment of Radiation Oncology, Stanford University, Palo Alto, California, USA.
Stanford University · USMGS Research (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop an angular correction methodology and characterize a high-resolution complementary metal-oxide-semiconductor (CMOS) array for patient specific quality assurance on a robotic arm linear accelerator.

methodsBeam path files from the treatment planning software (TPS) were used to calculate the angle of radiation beam with respect to the detector plane. Beams from multiple discrete angles were delivered to the CMOS detector array and an angular dependency look up table (LUT) was created. The LUT was then used to correct for the angular dependency of the detector. An iso-centric 5 mm fixed cone, non iso-centric multi-target fixed cone, 10 mm Iris and a multi-leaf collimator (MLC) based collimated plan were delivered to the phantom and compared to the TPS with and without angular correction applied. Additionally, the CMOS array was compared to gafchromic film and a diode array.

resultsLarge errors of up to 30% were observed for oblique angles. When angular correction was applied, the gamma passing rate increased from 99.2% to 100% (average gamma value decreased from 0.29 to 0.14) for the 5-mm iso-centric cone plan. Similarly, the passing rate increased from 84.0% to 100% for the Iris plan and from 49.98% to 98.4% for the MLC plan when angular correction was applied. For the multi-target plan, applying angular correction improved the gamma passing rate from 94% to 99.6%. The 5 mm iso-centric fixed cone plan was also delivered to film, and the gamma passing rate was 91.3% when using gafchromic film as the reference dataset, whereas the diode array provided insufficient sampling for this plan.

conclusionA methodology of calculating the beam angle based on the beam path files was developed and validated. The array was demonstrated to be superior to other quality assurance tools because of its sub-millimeter spatial resolution and immediate read out of the results.

Indexed as

RadiosurgeryRadiotherapy, Intensity-ModulatedRobotic Surgical ProceduresHumansOxidesQuality Assurance, Health CareRadiometryRadiotherapy DosageRadiotherapy Planning, Computer-AssistedOxidescyberknifedetector arrayhigh-resolutionpatient specific QA

Identifiers

PMID37528747
PMCPMC10647992
OpenAlexW4385476659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.