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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2025

Advantages of 3D printed patient-individual moulds in brachytherapy for facial skin cancer.

Jörg Licher, Julia Achenbach, Janett Köhn, Markus Diefenhardt, Maximilian Fleischmann, Claus Rödel, Nikolaos Tselis, Ulla Ramm, Christian Scherf

Abstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

  1. Article
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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.

Jörg LicherGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. Joerg.Licher@med.uni-frankfurt.de.ORCID 0000-0002-2948-1181
Julia AchenbachGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Janett KöhnGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Markus DiefenhardtGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Maximilian FleischmannGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Claus RödelGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Nikolaos TselisGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Ulla RammGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Christian ScherfGoethe University Frankfurt, University Hospital, Department of Radiotherapy and Oncology, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFacial skin cancer of 42 elderly frail patients was treated with individualised 3D-printed mould applicators for high-dose-rate (HDR) brachytherapy. The dosimetric outcome was compared to conventionally manufactured individual moulds used before.

methodsTumour-adapted HDR brachytherapy source paths were pre-planned and dosimetrically optimised in the brachytherapy treatment planning system (TPS) using computed tomography (CT) data and considered in the design of the patient-individual moulds. Dosimetric outcome for the planning target volumes and organs at risk were statistically evaluated and compared for pre-planning, final clinical treatment planning with TG-43 formalism and retrospective tissue, material and CT density related TG-186 calculations.

resultsPre-planning allows reliable brachytherapy source paths design to achieve intended dosimetric clinical goals. The 3D-printed patient-specific moulds show a clear advantage in the dosimetric coverage of the target volume (improving D

conclusionCustomised 3D printed moulds offer a safe and efficient technique to treat facial skin cancer in critical locations and complex clinical situations with HDR brachytherapy. The two-step planning process results in reliable PTV dose coverage and efficient sparing of eye lenses and eyeballs. Dosimetric outcome and interfractional position reproducibility with 3D printed moulds were superior to conventionally manufactured facial moulds with respect to the clinical goals.

Indexed as

BrachytherapyFacial NeoplasmsPrinting, Three-DimensionalRadiotherapy Planning, Computer-AssistedSkin NeoplasmsAgedAged, 80 and overEquipment DesignFemaleHumansMaleRadiotherapy DosageTreatment Outcome3D printingBrachytherapyIndividual mouldsRadiotherapySkin cancer

Identifiers

PMID40009080
PMCPMC12373695

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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.