Evidence map›Paper›PMID 38695825›Full record

ArticleMedical physics2024

Curvilinear catheter implantation in HDR prostate brachytherapy: feasibility study.

Blayton Padasdao, Rex Imanaka, Tarun K Podder, Bardia Konh

Open access · bronzeAbstract read
In one paragraph

Article in Medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Analysis of Needle Placement Error During Prostate Biopsies in Real Clinical Cases: Effects of Needle Tip Orientation and Target Location.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
    Article
  4. 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

4 authors at 2 institutions in 1 country.

Blayton PadasdaoDepartment of Mechanical Engineering, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Rex ImanakaDepartment of Mechanical Engineering, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Tarun K PodderDepartment of Radiation Oncology, SUNY Upstate Medical University, Syracuse, New York, USA.
Bardia KonhDepartment of Mechanical Engineering, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
University of Hawaiʻi at Mānoa · USSUNY Upstate Medical University · US

Funding

Smart Needle with Intelligent Robotic Control for Prostate BrachytherapyK25EB030562 · NIBIB · UNIVERSITY OF HAWAII AT MANOA · PI KONH, BARDIA · 2021 to 2024
$715k
National Institute Of Biomedical Imaging And Bioengineering of the National Institutes of Health K25EB030562NIBIB NIH HHS K25 EB030562
6 · The paper itself

Abstract

backgroundHigh-dose-rate (HDR) brachytherapy (BT) has been acknowledged as a widely utilized treatment for patients with intermediate- and high-risk prostate cancer, despite its side effects such as edema, incontinence, and impotence. Nevertheless, the treatment is consistently limited by the potential danger of excessive irradiation to organs-at-risk (OARs) like the urethra, bladder, and rectum. PURPOSE: This study aims to introduce curvilinear catheter implantation in the prostate gland for HDR treatment. The objective is to improve the radiation dose distribution by offering access channels conformal to the prostate anatomy. This approach seeks to minimize toxicity to nearby OARs while utilizing a reduced number of needles, potentially leading to improved clinical outcomes.

methodsCurvilinear catheters were first pre-planned for an anonymized patient using Oncentra treatment planning system (TPS) and hybrid inverse planning optimization (HIPO) algorithm. The trajectories of the catheters were then analyzed using MATLAB to extract their radius of curvature. Tendon-driven active needles were then used to implant curvilinear catheters inside an anthropomorphic phantom.

resultsProposed curvilinear catheter implantation resulted in significant improvement in terms of dosimetric constraints to the OARs and coverage to the prostate. Tendon-driven active needles were shown to be capable of realizing the required pre-planned curvatures inside prostate. It was shown that the active needle can realize a desired radius of curvature and a desired trajectory with an average accuracy of 9.1 ± 8.6  and 1.27 ± 0.50 mm in air and inside a tissue-mimicking phantom, respectively.

conclusionThis work demonstrates the feasibility of using tendon-driven active curvilinear catheter implantation in prostate to improve the outcomes of HDR-BT via improved radiation dose distribution to the prostate and reduced toxicity to the OARs.

Indexed as

BrachytherapyCathetersFeasibility StudiesProstatic NeoplasmsHumansMaleOrgans at RiskPhantoms, ImagingRadiotherapy DosageRadiotherapy Planning, Computer-Assistedcurvilinear catheter implantationdominant intraprostatic lesionsdose escalationimproved clinical outcomereduced toxicityrobotic needle insertion

Identifiers

PMID38695825
PMCPMC13521587
OpenAlexW4396599224

What OpenQuestion holds

Textmetadata
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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.