Evidence map›Paper›PMID 39413314›Full record

ArticleMedical physics2025

Dosimetry in MRgPT: Impact of magnetic fields on TLD dose response during proton irradiation.

Hermann Fuchs, Hugo Palmans, Gerd Heilemann, Dominik Zuschlag, Dietmar Georg, Peter Kuess

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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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 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

6 authors.

Hermann FuchsDivision of Medical Physics, Department of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Hugo PalmansMedAustron Ion Therapy Center, Wiener Neustadt, Austria.
Gerd HeilemannDivision of Medical Physics, Department of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Dominik ZuschlagDivision of Medical Physics, Department of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Dietmar GeorgDivision of Medical Physics, Department of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Peter KuessDivision of Medical Physics, Department of Radiation Oncology, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton beam therapy, when integrated with MRI guidance, presents complex dosimetric challenges due to interactions with magnetic fields. Prior research has emphasized the nuanced impact of magnetic fields on dosimetry. For thermoluminescent dosimeters (TLDs) the electron-return effect, alongside small air cavities surrounding the pellets, can lead to nonuniform dose distributions. Future MR-guided proton therapy will require reliable methods for end-to-end tests and dosimetric audits, which so far are often performed using TLDs equipped with phantoms. This implicates the necessity of accounting for these interactions. PURPOSE: This study investigates the influence of magnetic fields on TLDs at two proton energies, using magnetic field strengths of 0, 0.25, and

methodsThe study was conducted at a synchrotron-based ion beam therapy beam line, enhanced by a resistive dipole magnet for creating magnetic fields up to

resultsThe study found no statistically significant variation in TLD dose response attributable to changes in the air gap or the presence of magnetic fields. A power analysis indicated an upper limit on a potential change in dose-response as small as 1.5%.

conclusionsThe findings suggested that the impact of air gap variations and magnetic field strengths on the TLD response was below the detection threshold of TLD sensitivity. This emphasizes the suitability of TLDs for dose measurement in MR-guided proton therapy, indicating that additional correction factors may not be necessary despite the influence of magnetic fields.

Indexed as

Magnetic FieldsMagnetic Resonance ImagingProton TherapyThermoluminescent DosimetryPhantoms, ImagingRadiation DosageRadiotherapy DosageRadiotherapy, Image-Guideddosimetry in magnetic fieldsproton therapyTLD

Identifiers

PMID39413314
PMCPMC11699999

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