Evidence map›Paper›PMID 40450382›Full record

ArticleJournal of applied clinical medical physics2025

Radiotherapy medical physics in the Philippines: A contemporary overview.

John Paul C Cabahug, Ramon Carlo Cruzpero, Luis E Fong de Los Santos, Eric C Ford, Afua A Yorke

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Radiotherapy medical physics in the Philippines: A contemporary overview.Journal of applied clinical medical physics · 2025
    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

5 authors.

John Paul C CabahugDepartment of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID https://orcid.org/0009-0003-6711-1127
Ramon Carlo CruzperoDepartment of Radiology, University of the Philippines-Philippine General Hospital, Ermita, Manila, Philippines.
Luis E Fong de Los SantosDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Eric C FordDepartment of Radiation Oncology, Fred Hutch Cancer Center, University of Washington School of Medicine, Seattle, Washington, USA.
Afua A YorkeDepartment of Radiation Oncology, Fred Hutch Cancer Center, University of Washington School of Medicine, Seattle, Washington, USA.ORCID https://orcid.org/0000-0003-3550-8894

Funding

A cost-effective radiation treatment delivery system for the low- and middle-income countriesUH3CA211310 · NCI · UNIVERSITY OF WASHINGTON · PI FORD, ERIC C · 2019 to 2022
$2.6M
NCI Diversity NCI 3UH3CA211310-04S1NCI NIH HHS UH3 CA211310
6 · The paper itself

Abstract

purposeWith cancer ranking as the third leading cause of death in the Philippines and a disparity in healthcare resources across regions, this research aimed to assess the state of radiotherapy medical physics in the country. METHODOLOGY: The study utilized a comprehensive online survey with 94 structured questions answered by 19 clinics.

resultsMost of the participants were within 1-3 years of training (41%), with a slight majority working in private hospitals (55%). linear accelerators (LINACs) were universally used with one Co-60 unit available, and High Dose Rate (HDR) brachytherapy was common. Intensity-Modulated Radiotherapy (IMRT) and 3D-Conformal Radiotherapy (3D-CRT) are practiced in all 19 clinics, with advanced techniques like Stereotactic Body Radiotherapy (SBRT), Stereotactic Radiosurgery (SRS), and Intraoperative Radiotherapy (IORT) limited to NCR, while modalities such as Volumetric Modulated Arc Therapy (VMAT) (21%) and 2D RT (68%) are more widely practiced. Imaging modalities included the wide adoption of Computed Tomography (CT), though only 64% of respondents had dedicated CT simulators in their clinics. Gynecologic and breast cancers were frequently treated, while bone marrow transplants (total body irradiation) were rare. For quality assurance (QA) devices, Solid Water Phantoms and Scanning Water Tanks (86%) were the most common devices for dosimetry and measurement. 82% reported performing patient-specific QA (PSQA), with EPID dosimetry being the most common (55%) PSQA device used. Quality management practices varied between Qualified Medical Physicists and Medical Physics Trainees, with most Qualified Medical Physicists performing routine checks. Treatment interruptions were mainly due to staffing and machine downtime, rather than power outages or natural disasters. Most clinics had their own systems (86%) to document safety incidents, but only a few reported incidents (32%) to the IAEA SAFRON program. Lastly, participants expressed a willingness to collaborate in research despite limited time.

conclusionThis study provides an understanding of the current landscape of radiation therapy physics in the Philippines, highlighting the need to address workforce disparities, ensure equitable cancer treatment access, optimize dosimetric tools and QA devices, and prioritize resource allocation and research collaboration to advance radiation oncology practices.

Indexed as

Health PhysicsNeoplasmsRadiation OncologyRadiotherapy, Intensity-ModulatedHumansParticle AcceleratorsPhilippinesRadiosurgeryRadiotherapy DosageRadiotherapy Planning, Computer-AssistedSurveys and Questionnairesdosimetric tool availabilityquality assuranceradiotherapy equipmentradiotherapy safety practicestreatment interruptions

Identifiers

PMID40450382
PMCPMC12256689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.