Evidence map›Paper›PMID 40837602›Full record

ArticlePhysics and imaging in radiation oncology2025

Time series analysis of dosimetric changes in target volumes and organs at risk monitored by cone beam computed tomography during radiotherapy for non-small-cell lung cancer.

Chitchaya Suwanraksa, Wathanya Sukcharoen, Saranya Phuakphiuwong, Sittinee Kooptisirirat, Kantida Krutsuwan, Chanakran Nantasri, Apisit Jakkrit, Thanarpan Peerawong, Ponlagrit Kumwichar

Abstract read
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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 1 paper.

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0cells of the map it votes in
1citing 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

The trial behind it

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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

1 citing paper in PubMed.

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4 · The record

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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.

Chitchaya SuwanraksaDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Wathanya SukcharoenDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Saranya PhuakphiuwongDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Sittinee KooptisiriratDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Kantida KrutsuwanDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Chanakran NantasriDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Apisit JakkritDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Thanarpan PeerawongDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Ponlagrit KumwicharDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Purpose: Technological advancements in radiotherapy have enhanced the ability to increase tumor doses while sparing normal tissues. We performed a time-series cluster analysis to characterize dynamic variations in dosimetry during radiotherapy. Materials and Methods: We analyzed dosimetric variations of 40 patients with non-small-cell lung cancer who received 60 Gy over 30 daily cone beam computed tomography-guided fractions. Percentage deviations from planned doses across all fractions were calculated for organs at risk (OARs) (lungs, heart, spinal cord, and esophagus), gross tumor volume, clinical target volume (CTV), and planning target volume. K-means clustering with dynamic time-warping distances was applied to identify temporal dose patterns. The target volume with the lowest variance (95 % dose coverage of the CTV [CTV Results: The CTV Conclusions: Time-series clustering enabled early identification of patients with distinct dose evolution patterns. The stable trajectories of Cluster 1 may serve as internal references for adaptive radiotherapy. Variability in Cluster 2 underscores the need for routine dose monitoring to support timely offline adaptation.

Indexed as

Adaptive radiotherapyCone beam computed tomographyNon-small-cell lung cancerRadiotherapyTime-series analysis

Identifiers

PMID40837602
PMCPMC12363579

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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.