Evidence map›Paper›PMID 39991924›Full record

ArticlePhysics and imaging in radiation oncology2025

Accuracy-dependent dose-constraints and dose-based safety margins for organs-at-risk in radiotherapy.

Joep C Stroom, Sandra C Vieira, Carlo Greco, Sebastiaan M J J G Nijsten

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Joep C StroomDepartment of Radiation Oncology Champalimaud Centre for the Unknown Lisbon Portugal.
Sandra C VieiraDepartment of Radiation Oncology Champalimaud Centre for the Unknown Lisbon Portugal.
Carlo GrecoDepartment of Radiation Oncology Champalimaud Centre for the Unknown Lisbon Portugal.
Sebastiaan M J J G NijstenRadiotherapy Department MAASTRO Clinic Maastricht the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Geometrical uncertainties in radiotherapy are generally accounted for by margins for tumors, but their effect on organs-at-risk (OARs) is often ignored. We developed a model that incorporates dose- and geometry-based uncertainties in OAR planning using dose constraints. Materials and methods: Radiotherapy uncertainties cause real dose-volume histograms (DVHs) to spread around the planned DVH. With a Results: Results varied per OAR, fractionation, and constraint-type. If our 2.5mm/3% MD Conclusions: We introduced a first model relating dose constraints and complication probabilities with treatment uncertainties and safety margins for OARs. Among other things, it quantified how higher constraints can be applied with increasing radiotherapy accuracy.

Indexed as

Error simulationsOAR dose constraintsOAR safety marginsRecipesTreatment uncertainties

Identifiers

PMID39991924
PMCPMC11847229

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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.