Evidence map›Paper›PMID 41358305›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Radiation-specific Automated Dosimetric dental, Mandible, and maxilla Annotation for Predicting Periodontal Problems (RADMAP): A semi-automated tool for dosimetric oral risk communication and osteoradionecrosis assessment.

Lisanne V van Dijk, Laia Humbert-Vidan, Erin E Watson, Ruth A Aponte Wesson, Luisa E Jacomina, Renjie He, Mohamed A Naser, Dong Joo Rhee, He C Wang, Stephen Y Lai and 7 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. 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

17 authors.

Lisanne V van DijkDepartment of Radiation Oncology, University Medical Center Groningen, Groningen, NL.ORCID 0000-0002-9515-5616
Laia Humbert-VidanDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0002-8005-6770
Erin E WatsonDepartment of Dental Oncology/Faculty of Dentistry, Princess Margaret Cancer Centre; University Health Network; University of Toronto, Toronto, CA.ORCID 0000-0002-2096-7732
Ruth A Aponte WessonDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0003-0233-9035
Luisa E JacominaDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0001-7553-9674
Renjie HeDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0001-9166-6286
Mohamed A NaserDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0003-1020-4966
Dong Joo RheeDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, USA.
He C WangDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0002-4904-531X
Stephen Y LaiDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0001-8301-7286
Muhammad WaljiDepartment of Clinical and Health Informatics, UTHealth Houston McWilliams School of Biomedical Informatics.ORCID 0000-0001-5306-9683
Max Jh WitjesOral & Maxillofacial Surgery, University Medical Center Groningen, Groningen, NL.ORCID 0000-0002-4135-3246
Matthew S KatzDepartment of Radiation Oncology, Tufts Medical Center, Boston, MA.ORCID 0000-0002-0239-9807
Andrew HopeDepartment of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.
Mark S ChambersDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, USA.
Clifton D FullerDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0002-5264-3994
Amy C MorenoDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0001-6762-6807

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Paul Calabresi Clinical Oncology AwardK12CA088084 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI David S. Hong, Scott Kopetz · 2000 to 2026
$14.0M
Development of functional magnetic resonance imaging-guided adaptive radiotherapy for head and neck cancer patients using novel MR-Linac deviceR01DE028290 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHRISTODOULEAS, JOHN PAUL, FULLER, CLIFTON DAVID · 2019 to 2023
$4.3M
Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) to Establish Objective Clinical Outcome Measures for Mandibular OsteoradionecrosisR01DE025248 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LAI, STEPHEN Y · 2016 to 2020
$2.9M
Quantitative Imaging Biomarker Prospective Validation of Dynamic Contrast-Enhanced MRI as a Metric of Orodental Injury After Radiotherapy (QI-ProVE-MRI)U01DE032168 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Clifton David Fuller, STEPHEN Y LAI · 2023 to 2026
$2.8M
Ontology-based aPplications of mUlti-discipLinary knowlEdge on orodeNtal Conditions and outcomEs (OPULENCE)R01DE034406 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Amy Catherine Moreno · 2025 to 2026
$1.5M
Fellow and Resident Radiation Oncology iNtensive Training in Imaging and Informatics to Empower Research Careers (FRONTI2ER)R25EB025787 · NIBIB · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DAS, PRAJNAN, FULLER, CLIFTON DAVID · 2018 to 2022
$535k
Provider and Patient-generated Remote Oro-Dental Health Electronic Data Capture for Algorithmic Longitudinal Evaluation and Risk-Assessment (PROHEALER)K01DE030524 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MORENO, AMY CATHERINE · 2022 to 2024
$479k
Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) to Establish Objective Clinical Outcome Measures for Mandibular OsteoradionecrosisR56DE025248 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LAI, STEPHEN Y · 2015 to 2015
$470k
Radiation-specific Automated Dental Dose Distributions via Machine-learning based Mapping for Accurate Predictions of (Peri)odontal Problems (RADMAP)R21DE031082 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MORENO, AMY CATHERINE · 2021 to 2022
$452k
NCI NIH HHS K12 CA088084NCI NIH HHS P30 CA016672NIBIB NIH HHS R25 EB025787NIDCR NIH HHS K01 DE030524NIDCR NIH HHS R01 DE025248NIDCR NIH HHS R01 DE028290NIDCR NIH HHS R01 DE034406NIDCR NIH HHS R21 DE031082NIDCR NIH HHS R56 DE025248NIDCR NIH HHS U01 DE032168
6 · The paper itself

Abstract

Purpose/Objectives: Osteoradionecrosis of the jaw (ORN) is a severe complication of head and neck cancer (HNC) radiotherapy (RT), significantly impacting patient quality of life. Current dose assessment relies on whole-mandible dosimetry, limiting personalized, tooth-specific region risk evaluation. The lack of standardized methods to document and analyze dose distributions to tooth-bearing regions further hampers dental and maxillofacial decision-making. This study develops and evaluates RADMAP, a (semi-)automated tool for segmenting tooth-based jaw regions, enabling patient- and tooth-specific radiation dose mapping to improve dental dose reporting and ORN risk assessment. Methods and Materials: A total of 736 tooth locations from 23 HNC patients treated with definitive RT were analyzed, including 11 who developed ORN. The RADMAP tool applies an angular ray-based algorithm to automatically segment the mandible and maxilla into 32 tooth-specific jaw regions, with optional manual refinement (semi-automated), outputting radiation dose mapping in both tabular and odontogram formats. Mean dose values from manually contoured tooth roots were compared with RADMAP-segmented alveolar regions (fully and semi-automated). Interobserver agreement among six users was evaluated. Whole-mandible, manual tooth, and tooth-based jaw segment (alveolar and basal) doses were compared between regions with and without ORN development. Results: Mean dose correlation between RADMAP-segmented alveolar jaw regions and manually segmented tooth roots was high for both fully and semi-automated approaches (R Conclusion: RADMAP enables accurate, tooth-specific dose mapping of the mandible and maxilla, and potential improved ORN risk differentiation beyond whole-mandible dosimetry. Tooth-based dose reporting can personalize treatment, enhance multidisciplinary communication, and support prevention of radiation-related orodental sequelae.

Identifiers

PMID41358305
PMCPMC12676403

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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.