Evidence map›Paper›PMID 38265979›Full record

ArticleJournal of applied clinical medical physics2024

Systematic evaluation of spatial resolution and gamma criteria for quality assurance with detector arrays in stereotactic radiosurgery.

Ann-Kathrin Stedem, Mark Tutty, Ndimofor Chofor, Marco Langhans, Christoph Kleefeld, Andreas A Schönfeld

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
6.7field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. AAPM-RSS Medical Physics Practice Guideline 9.b: SRS-SBRT.Journal of applied clinical medical physics · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

6 authors at 5 institutions in 3 countries.

Ann-Kathrin StedemAsklepios Klinik St. Georg, Hermann-Holthusen-Institut für Strahlentherapie, Hamburg, Germany.
Mark TuttyRadiotherapy Department, Beacon Hospital, Dublin, Ireland.
Ndimofor ChoforPhysics Research and Outreach, Sun Nuclear, A Mirion Medical Company, Norderstedt, Germany.ORCID https://orcid.org/0000-0003-1501-5021
Marco LanghansKlinik für Strahlentherapie, Wilhelmshaven, Germany.
Christoph KleefeldNational University of Ireland, School of Physics, University Road, Galway, Ireland.
Andreas A SchönfeldPhysics Research and Outreach, Sun Nuclear, A Mirion Medical Company, Norderstedt, Germany.
International Medical Research (Germany) · DEAsklepios Klinik St. Georg · DEBeacon College · USKlinikum Wilhelmshaven · DENational University of Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize detector array spacing and gamma index for quality assurance (QA) of stereotactic radiosurgery (SRS) deliveries. Use the Nyquist theorem to determine the required detector spacing in SRS fields, and find optimal gamma indices to detect MLC errors using the SRS MapCHECK, ArcCHECK, and a portal imaging device (EPID).

methodsThe required detector spacing was determined via Fourier analysis of small radiation fields and profiles of typical SRS treatment plans. The clinical impact of MLC errors of 0.5, 1, and 2 mm was evaluated. Global gamma (low-dose threshold 10%) was evaluated for the three detector systems using various combinations of the distance to agreement and the dose difference.

resultsWhile MLC errors only slightly affected mean dose to PTV and a 2 mm thick surrounding structure (PTV_2 mm), significant PTV underdose incurred with increase in maximum dose to PTV_2 mm. Gamma indices with highest sensitivity to the introduced errors at 95% tolerance level for plans on target volumes of 3.2 cm

conclusionsThe present results give insight on the performance of detector arrays and gamma indices for the investigated detectors during SRS QA.

Indexed as

RadiosurgeryRadiotherapy, Intensity-ModulatedGamma RaysHumansRadiotherapy DosageRadiotherapy Planning, Computer-Assisteddetector arraysgamma indexquality assurancestereotactic radiosurgery

Identifiers

PMID38265979
PMCPMC10860444
OpenAlexW4391166341

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.