Evidence map›Paper›PMID 38522035›Full record

ArticleJournal of applied clinical medical physics2024

Skin marker combined with surface-guided auto-positioning for breast DIBH radiotherapy daily initial patient setup: An optimal schedule for both accuracy and efficiency.

Jianjun Lai, Zhizeng Luo, Lu Jiang, Haili Hu, Chang Gao, Chuanfeng Zhang, Liting Chen, Jing Wu, Zhibing Wu

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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

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

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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 1 country.

Jianjun LaiInstiute of Intelligent Control and Robotics, Hangzhou Dianzi University, Hangzhou, China.ORCID https://orcid.org/0000-0002-2440-7919
Zhizeng LuoInstiute of Intelligent Control and Robotics, Hangzhou Dianzi University, Hangzhou, China.
Lu JiangDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Haili HuDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Chang GaoDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Chuanfeng ZhangDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Liting ChenDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Jing WuDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Zhibing WuDepartment of Radiation Oncology, Zhejiang Hospital, Hangzhou, China.
Zhejiang Hospital · CNHangzhou Dianzi University · CN

Funding

National Natural Science Foundation of China 62171171Natural Science Foundation of Zhejiang Province LZ23F030005Zhejiang Public Welfare Research Program LGF20H160020
6 · The paper itself

Abstract

background and purposeBy employing three surface-guided radiotherapy (SGRT)-assisted positioning methods, we conducted a prospective study of patients undergoing SGRT-based deep inspiration breath-hold (DIBH) radiotherapy using a Sentine/Catalys system. The aim of this study was to optimize the initial positioning workflow of SGRT-DIBH radiotherapy for breast cancer. MATERIALS AND

methodsA total of 124 patients were divided into three groups to conduct a prospective comparative study of the setup accuracy and efficiency for the daily initial setup of SGRT-DIBH breast radiotherapy. Group A was subjected to skin marker plus SGRT verification, Group B underwent SGRT optical feedback plus auto-positioning, and Group C was subjected to skin marker plus SGRT auto-positioning. We evaluated setup accuracy and efficiency using cone-beam computed tomography (CBCT) verification data and the total setup time.

resultsIn groups A, B, and C, the mean and standard deviation of the translational setup-error vectors were small, with the highest values of the three directions observed in group A (2.4 ± 1.6, 2.9 ± 1.8, and 2.8 ± 2.1 mm). The rotational vectors in group B (1.8 ± 0.7°, 2.1 ± 0.8°, and 1.8 ± 0.7°) were significantly larger than those in groups A and C, and the Group C setup required the shortest amount of time, at 1.5 ± 0.3 min, while that of Group B took the longest time, at 2.6 ± 0.9 min.

conclusionSGRT one-key calibration was found to be more suitable when followed by skin marker/tattoo and in-room laser positioning, establishing it as an optimal daily initial set-up protocol for breast DIBH radiotherapy. This modality also proved to be suitable for free-breathing breast cancer radiotherapy, and its widespread clinical use is recommended.

Indexed as

Breast NeoplasmsBreath HoldingCone-Beam Computed TomographyPatient PositioningRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedAdultAgedFemaleFiducial MarkersHumansMiddle AgedOrgans at RiskPrognosisProspective Studiesbreast radiotherapyDIBHsetup efficiency, SGRT

Identifiers

PMID38522035
PMCPMC11244673
OpenAlexW4393130554

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LicenceCC BY
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Registered trials

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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.