Evidence map›Paper›PMID 40336642›Full record

ArticlePrecision radiation oncology2024

Analyzing the patient isocenter positional accuracy with portal imaging acquired at different gantry angles and its dosimetrical impact on the dose delivery for head and neck cancers.

Bharath Pandu, D Khanna, Mohandass Palanisamy, Saro Jacob, Tatarao Maddipati

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Article in Precision radiation oncology, 2024. 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

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Influence of scan mode, tilt, and radiation dose on CT radiomic metrics.Journal of applied clinical medical physics · 2026
    Article
  3. Editorial: 2Precision radiation oncology · 2025
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Bharath PanduDepartment of Applied Physics Karunya Institute of Technology and Sciences Coimbatore India.ORCID https://orcid.org/0000-0002-6725-2427
D KhannaDepartment of Applied Physics Karunya Institute of Technology and Sciences Coimbatore India.
Mohandass PalanisamyDepartment of Radiation Oncology Fortis Hospital Mohali Mohali India.
Saro JacobDepartment of Radiotherapy Bangalore Baptist Hospital Bangalore India.
Tatarao MaddipatiDepartment of Community Medicine Bangalore Baptist Hospital Bangalore India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to analyze the effect of different gantry angles on portal imaging in terms of isocenter shifts and their dosimetric impact on dose delivery. Methods: Thirty patients with head and neck cancers were prospectively selected for this study. The reference anterior to posterior (AP) digitally reconstructed reference radiograph image was obtained at a gantry angle of 0°. The AP portal images were acquired at angles of 0°, 0.5°, 1°, 1.5°, and 2.0°. The average deviation of the isocenter shift with respect to the zero-gantry angle was calculated. To check the dosimetric effects, the reference fluence was compared with different fluences measured at different isocenter shifts. Results: The average isocenter shift differences in the lateral direction were 0.7 mm, 1.3 mm, 1.9 mm, and 2.5 mm. The average difference was <±0.1 mm for isocenter shift in the longitudinal direction. The results of the statistical analysis showed that the average isocenter shift and gamma pass rate with respect to the different isocenter position errors were significant in the lateral direction. Conclusion: The results of this study showed that as the gantry angle increased, the isocenter shifted and the percentage of deviation in the lateral direction increased.

Indexed as

electronic portal imaging devicesgantry anglesintensity‐modulated radiotherapyisocenter shiftportal imagingpositional accuracy

Identifiers

PMID40336642
PMCPMC11935235

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