Evidence map›Paper›PMID 39365684›Full record

ArticleMedical physics2025

Evaluation of the impact of cardiac implantable electronic devices on cine MRI for real-time adaptive cardiac radioablation on a 1.5 T MR-linac.

Osman Akdag, Stefano Mandija, Pim T S Borman, Paris Tzitzimpasis, Astrid L H M W van Lier, Rick Keesman, Bas W Raaymakers, Martin F Fast

Abstract readEvaluation Study
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Osman AkdagDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Stefano MandijaDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Pim T S BormanDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Paris TzitzimpasisDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Astrid L H M W van LierDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Rick KeesmanDepartment of Radiotherapy, Radboud University Medical Center, Nijmegen, The Netherlands.
Bas W RaaymakersDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Martin F FastDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 17 515Nederlandse Organisatie voor Wetenschappelijk Onderzoek 19484
6 · The paper itself

Abstract

backgroundStereotactic arrhythmia radioablation (STAR) is a novel treatment approach for refractory ventricular tachycardia (VT). The risk of treatment-induced toxicity and geographic miss can be reduced with online MRI-guidance on an MR-linac. However, most VT patients carry cardiac implantable electronic devices (CIED), which compromise MR images. PURPOSE: Robust MR-linac imaging sequences are required for cardiac visualization and accurate motion monitoring in presence of a CIED during MRI-guided STAR. We optimized two clinically available cine sequences for cardiorespiratory motion estimation in presence of a CIED on a 1.5 T MR-linac. The image quality, motion estimation accuracy, and geometric fidelity using these cine sequences were evaluated.

methodsClinically available 2D balanced steady-state free precession (bSSFP, voxel size = 3.0

resultsCIEDs introduced banding artifacts partially obscuring cardiac structures in bSSFP acquisitions. In contrast, the

conclusionsTailored bSSFP and

Indexed as

Magnetic Resonance Imaging, CineDefibrillators, ImplantableHeartHumansImage Processing, Computer-AssistedMovementRadiosurgeryTachycardia, VentricularTime Factorscardiac radiotherapyMRI‐guided radiotherapyreal‐time

Identifiers

PMID39365684
PMCPMC11700006

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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.