Evidence map›Paper›PMID 39361510›Full record

ArticleJournal of applied clinical medical physics2025

Comparison of translation algorithms in determining maximum allowable CTV shifts for Real-Time Gated Proton Therapy (RGPT) robustness evaluation in prostate cancers.

James Kuan Huei Lee, Kah Seng Lew, Calvin Wei Yang Koh, James Cheow Lei Lee, Andrew A Bettiol, Sung Yong Park, Hong Qi Tan

Abstract readComparative Study
In one paragraph

Article in Journal of applied clinical medical physics, 2025. 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

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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

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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.

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4 · The record

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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.

James Kuan Huei LeeDepartment of Physics, National University Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0009-5023-4896
Kah Seng LewDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Calvin Wei Yang KohDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
James Cheow Lei LeeDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Andrew A BettiolDepartment of Physics, National University Singapore, Singapore, Singapore.
Sung Yong ParkDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Hong Qi TanDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-7878-4544

Funding

Clinical & Systems Innovation Support-Innovation Seed 08/FY2022/P2/02-A68Duke-NUS Oncology Academic Program Goh Foundation Proton Research Programme 08/FY2021/EX(SL)/92-A146
6 · The paper itself

Abstract

introductionReal-Time Gated Proton Therapy (RGPT) is an active motion management technique that utilizes treatment gating and tumor tracking via fiducial markers. When performing RGPT treatment for prostate cancer, it is essential to account for the CTV displacement relative to the body in the clinical workflow. The workflow at the National Cancer Centre Singapore (NCCS) includes bone matching via CT-CBCT images, followed by fiducial matching via pulsed fluoroscopy (soft tissue matching), and finally, a robustness evaluation procedure to determine if the difference is within an allowable tolerance. In this study, we compare two CTV translation methods for robustness evaluation: (1) an in-house translation algorithm and (2) the RayStation "simulate organ motion" Deformable image registration (DIR) algorithm.

methodsNine RGPT prostate patient plans with CTV volumes ranging from 17.1 to 96.72 cm

resultsAcross all axes, there were no statistically significant differences between the two algorithms for all three dose metrics: CTV D

conclusionOur results demonstrate that the simpler in-house algorithm performs equivalently to the realistic DIR algorithm when simulating CTV motion in prostate cancers. Furthermore, the in-house algorithm completes the robustness evaluation two orders of magnitude faster than the DIR algorithm. This significant reduction in evaluation time is crucial especially when preparatory time efficiency is of paramount importance in a busy clinic.

Indexed as

AlgorithmsProstatic NeoplasmsProton TherapyRadiotherapy DosageRadiotherapy Planning, Computer-AssistedCone-Beam Computed TomographyFiducial MarkersHumansImage Processing, Computer-AssistedMaleOrgan MotionOrgans at RiskRadiotherapy, Intensity-Modulatedfiducial markersmotion managementPBSproton therapyRGPT

Identifiers

PMID39361510
PMCPMC11713994

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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.