Evidence map›Paper›PMID 39611734›Full record

ArticleJournal of applied clinical medical physics2025

Impact of belly board immobilization devices and body mass factor on setup displacement using daily cone-beam CT in rectal cancer radiotherapy.

Junjie Ruan, Xiaotong Huang, Tong Wang, Xiuying Mai, Chuyan Lin, Fanghua Li, Yunfeng Li, Feng Chi, Bin Li

Registry-linked trialAbstract read
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. It is linked to trial NCT07676032 (The Impact of Body Composition on Setup Errors in Patients Undergoing Radiotherapy With Thermoplastic Mask Immobilization), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT07676032 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Body Composition on Setup Errors in Patients Undergoing Radiotherapy With Thermoplastic Mask Immobilization: A Single-Center Prospective Cohort Study

Typeobservational_patient_registrySponsorShijiazhuang People's HospitalRan2026 to 2027Enrolled150ConditionsMalignant Neoplasms
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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.

Junjie RuanState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Xiaotong HuangState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Tong WangState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Xiuying MaiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Chuyan LinState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Fanghua LiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Yunfeng LiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Feng ChiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.
Bin LiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, P. R. China.ORCID https://orcid.org/0000-0002-2413-5175

Funding

Guangdong Basic and Applied Basic Research Foundation 2020A1515110352Special Scientific Research Fund for Medical Physics & Technology of Guangdong Biomedical Engineering Society 2022YXWL0101
6 · The paper itself

Abstract

objectiveThe objective of this study is to evaluate the impact of different belly board and daily changes in patient's body-mass factor (BMF) on setup displacement in radiotherapy for rectal cancer.

methodsTwenty-five patients were immobilized using the thermoplastic mask with belly board (TM-BB), and 30 used the vacuum bag cushion with belly board (VBC-BB), performing daily cone-beam computed tomography (CBCT) scans 625 times and 750 times, respectively. Daily pretreatment CBCT scans were registered to the planned CT images for BMF change determination and setup displacement measurement. Independent t-tests compared setup displacement between the two groups in left-right (LR), superior-inferior (SI), and anterior-posterior (AP) directions, as well as the BMF changes. The impact of daily BMF changes on setup displacement was evaluated using multivariate logistic regression and 10-fold cross-validation.

resultsThe setup displacement for TM-BB in the LR, SI, and AP directions were 0.31 ± 0.25, 0.58 ± 0.40, and 0.19 ± 0.18 cm, respectively, while VBC-BB showed 0.19 ± 0.15, 0.26 ± 0.22, and 0.36 ± 0.29 cm in the corresponding directions, respectively. Margins of planning target volume (PTV) for TM-BB were 8, 10, and 6 mm in LR, SI, and AP directions, while VBC-BB showed margins of 5,7, and 8 mm, respectively. The daily BMF changes for both groups were ranked in descending order as follows: sacral rotation angle (RS), hip lateral diameter (HLD), and hip anterior-posterior diameter (HAPD). HAPD was the main factor affecting setup displacement in both the AP and SI directions in TM-BB, while RS was the primary factor for setup displacement in the AP direction in VBC-BB.

conclusionCompared with TM-BB, VBC-BB had a larger AP displacement but smaller in LR and SI displacement. Daily changes in BMF have distinct effects on setup displacement in different immobilization devices. Image-guided radiation therapy (IGRT) is highly recommended and BMF changes should be given consideration during radiotherapy.

Indexed as

Cone-Beam Computed TomographyImmobilizationPatient PositioningRadiotherapy Planning, Computer-AssistedRadiotherapy Setup ErrorsRectal NeoplasmsAgedBody Mass IndexFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-Modulatedbelly board immobilizationbody mass factorcone‐beam CTrectal cancer radiotherapysetup displacement

Identifiers

PMID39611734
PMCPMC11905242

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Registered trials

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.