Evidence map›Paper›PMID 40662487›Full record

ArticleJournal of applied clinical medical physics2025

Head-to-head: Anthropomorphic phantoms for evaluating the effect of skin tone on the accuracy of surface imaging systems.

Elizabeth L Covington, Dennis N Stanley, Ashanti Lawson, Scott Hadley, Alexander Moncion, Rodney J Sullivan, John B Fiveash, Richard A Popple

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Elizabeth L CovingtonDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0002-2018-4316
Dennis N StanleyDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-4792-748X
Ashanti LawsonDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.
Scott HadleyDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.
Alexander MoncionDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA.
Rodney J SullivanDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
John B FiveashDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0002-1129-2884
Richard A PoppleDepartment of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-1252-738X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the localization accuracy of two commercial surface imaging (SI) systems used for intrafraction motion monitoring during stereotactic radiosurgery (SRS) and quantify the difference in accuracy due to skin tone.

methodsUsing a publicly available CT dataset, anthropomorphic phantoms were 3D printed using filament in four skin tones: rose tan, light brown, medium brown, and dark brown (3DUniverse, Chicago, IL, USA). Three SI systems from two vendors were utilized to measure the SI-reported offsets of the stationary phantoms in various gantry and couch configurations to create SRS-like conditions, including when the gantry obscured one camera pod. At each position, approximately 5 s of offsets were averaged to obtain the SI-reported offset.

resultsAll SI systems reported larger offsets for all phantoms at non-zero couch angles. The medium brown and dark brown phantoms showed the largest magnitudes at non-zero couch angles, increasing further when a camera pod was obstructed. For two SI systems, the position of the phantom for medium and dark brown phantoms could not be resolved at certain gantry/couch positions, and offsets up to 5 mm were reported.

conclusionCharacterization of SI systems using 3D-printed phantoms in a spectrum of skin tones can be used to determine the accuracy of SI tracking under treatment-like conditions. All SI systems showed decreased accuracy with darker skin-toned phantoms, which increased with an obstructed camera view.

Indexed as

HeadImage Processing, Computer-AssistedPhantoms, ImagingRadiosurgeryRadiotherapy Planning, Computer-AssistedSkinSkin PigmentationTomography, X-Ray ComputedHumansPrinting, Three-DimensionalRadiotherapy DosageRadiotherapy, Intensity-Modulatedintrafraction motion managementradiosurgerySRSsurface imaging

Identifiers

PMID40662487
PMCPMC12261033

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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.