Evidence map›Paper›PMID 40123770›Full record

ArticlePhysics and imaging in radiation oncology2025

Determination of patient-specific trajectory for biaxially rotational dynamic-radiation therapy using a new O-ring-shaped image guided radiotherapy system.

Hideaki Hirashima, Hiroki Adachi, Tomohiro Ono, Mitsuhiro Nakamura, Yuka Ono, Takahiro Iwai, Michio Yoshimura, Takashi Mizowaki

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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  5. Dosimetric validation of biaxially rotational dynamic-radiation therapy using an O-ring linear accelerator.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
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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

8 authors.

Hideaki HirashimaDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Hiroki AdachiX-ray Therapy Division, Therapy System Business, Healthcare Business Group, Hitachi High-Tech Corporation, Tokyo, Japan.
Tomohiro OnoDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Mitsuhiro NakamuraDepartment of Advanced Medical Physics, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Yuka OnoDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Takahiro IwaiDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Michio YoshimuraDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
Takashi MizowakiDepartment of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: This study developed a trajectory search method for biaxially rotational dynamic-radiation therapy (BROAD-RT) using a new O-ring-shaped linac, aimed at identifying a patient-specific trajectory in a commercial treatment planning system. Subsequently, its efficacy in the treatment of pancreatic cancer was assessed. Materials and methods: BROAD-RT is a beam delivery technique in which the gantry and O-ring are simultaneously rotated around two axes. A beam's eye view-based structure map was generated, and the Dijkstra algorithm was then applied to explore the BROAD-RT for minimizing radiation doses to critical organs in RayStation. This procedure was evaluated in 10 patients with pancreatic cancer. For each patient, two different plans were created: volumetric modulated arc therapy (VMAT) plan with coplanar and BROAD-RT trajectory. The effects of different trajectories on the plan and dosimetric indices were assessed for each delivery technique. Results: The mean modulation complexity score for VMAT (MCS Conclusions: Our study conducted an automated search for patient-specific BROAD-RT trajectory using a new O-ring-shaped linac and implemented these trajectories in RayStation. Dose distributions were reduced in the intermediate-dose regions with BROAD-RT trajectory.

Indexed as

BROAT-RTDijkstra algorithmPancreatic cancerPatient-specific trajectory search

Identifiers

PMID40123770
PMCPMC11926428

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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.