Evidence map›Paper›PMID 39611814›Full record

ArticleJournal of applied clinical medical physics2025

Clinical use of Gafchromic EBT4 film for in vivo dosimetry for total body irradiation.

Emily Draeger, Fada Guan, Min-Young Lee, Dae Yup Han, William Donahue, Zhe Jay Chen

Abstract 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. 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

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Commissioning of a near real-time in vivo film dosimetry system.Journal of applied clinical medical physics · 2026
    Article
  4. Activity-dependent transit dose assessment inPrecision radiation oncology · 2025
    Article
  5. 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

6 authors.

Emily DraegerDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Fada GuanDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Min-Young LeeDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Dae Yup HanDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.
William DonahueDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.
Zhe Jay ChenDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeIn vivo dosimetry is a common requirement to validate dose accuracy/uniformity in total body irradiation (TBI). Several detectors can be used for in vivo dosimetry, including thermoluminescent dosimeters (TLDs), diodes, ion chambers, optically stimulated luminescent dosimeters (OSLDs), and film. TLDs are well established for use in vivo but required expertise and clinical system availability may make them impractical for multifractionated TBI. OSLDs offer quick readout, but recalls have restricted their use. The purpose of this work was to validate the newly available Gafchromic EBT4 film for TBI in vivo dosimetry.

methodsFilm calibration curves were created under standard conditions (6MV/15MV, 1.5/3.0 cm depth, 100 cm source-to-surface distance (SSD), 10 × 10 cm

resultsThe shortest development time that resulted in accurate dosimetry and allowed for adequate physician review time was 4 h (± 4% dose accuracy). Film entrance and exit dose measurements were within ± 3.8% of ion chamber and diode readings for 6MV and 15MV beams. Patient film measurements were within ∼ ± 5% for the majority of anatomical measurement locations; however, film and OSLD readings for some anatomic locations deviated by > 10%.

conclusionsThese results indicate that EBT4 film can be utilized for accurate in vivo dosimetry for TBI patients and shows good agreement with diode and ion chamber measurements. Further investigation into film and OSLD differences was not possible due to OSLD recalls.

Indexed as

Film DosimetryPhantoms, ImagingRadiotherapy Planning, Computer-AssistedWhole-Body IrradiationCalibrationHumansRadiotherapy DosageThermoluminescent DosimetryEBT4gafchromic filmin vivo dosimetryTBItotal body irradiation

Identifiers

PMID39611814
PMCPMC11905243

What OpenQuestion holds

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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.