Evidence map›Paper›PMID 41414875›Full record

ArticleJournal of applied clinical medical physics2026

Beam commissioning of a new compact scanned proton therapy system with four different dose calculation algorithms.

Ryo Tanokura, Masato Horita, Makoto Matsumoto, Akari Miyahara, Shinji Furukawa, Yasushi Ido, Akira Matsumoto, Shinichi Ogawa, Wataru Makino, Yoshihito Matsui and 3 more

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2026. 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.

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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

13 authors.

Ryo TanokuraDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Masato HoritaDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Makoto MatsumotoDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Akari MiyaharaDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Shinji FurukawaDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Yasushi IdoDepartment of Radiological Technology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Akira MatsumotoDepartment of Radiation Oncology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Shinichi OgawaDepartment of Radiation Oncology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Wataru MakinoDepartment of Radiation Oncology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Yoshihito MatsuiDepartment of Radiation Oncology, Central Japan International Medical Center, Minokamo, Gifu, Japan.
Yuki TominagaDepartment of Radiotherapy, Medical Co. Hakuhokai, Osaka Proton Therapy Clinic, Konohana-ku, Osaka, Japan.ORCID https://orcid.org/0000-0002-7851-6213
Takahiro KatoDepartment of Radiological Sciences, School of Health Sciences, Fukushima Medical University, Sakae-machi, Fukushima, Japan.
Nobukazu FuwaDepartment of Radiation Oncology, Central Japan International Medical Center, Minokamo, Gifu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Central Japan International Medical Center (Gifu prefecture, Japan) as the 20th Proton Therapy Institution in Japan, has newly installed a compact scanned proton therapy system, ProBeam 360°™. We installed two commercial treatment planning systems (TPSs): Eclipse and RayStation. No commissioning results have been reported between Varian's newest compact proton therapy system and the two TPSs.​ PURPOSE: We identified the optimal dose calculation algorithm for clinical use by evaluating the dose agreements between four dose calculation algorithms provided by two TPSs and the measured values using our new machine.

methodsThe two TPSs each had a pencil beam algorithm (PBA) and Monte Carlo (MC) dose engines (four in total). Validation plans were created for 26 box targets (with and without a 50-mm range shifter) in a homogeneous phantom optimized using Eclipse. We created three realistic clinical plans consisting of 42 beams in mock patients with prostate, head and neck, and C-shaped targets. We validated 12 heterogeneous plans for the lung and bone regions using all three optimizations and four dose algorithms with the TPSs. Measurements were performed on the lateral profiles at the isocenter plane. The calculated doses for each algorithm were compared with the measured doses.

resultsEach dose algorithm achieved an average gamma score of at least 95.6 ± 5.0% or higher (RayStation PBA) at 3%/3 mm in the box plans. For the patient and heterogeneous plans, the average gamma score exceeded 95% for only two MC algorithms. RayStation MC showed the highest dose calculation accuracy in both homogeneous and heterogeneous regions.

conclusionsAll calculated doses of the box plans were in good agreement with the measurements, except for the RayStation PBA. For clinical use, RayStation MC is the preferred option for both homogeneous and heterogeneous cases.

Indexed as

AlgorithmsHead and Neck NeoplasmsPhantoms, ImagingProstatic NeoplasmsProton TherapyRadiotherapy Planning, Computer-AssistedHumansMaleMonte Carlo MethodOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-Modulatedcommissioningdose calculation algorithmpencil beam scanningproton therapytreatment planning system

Identifiers

PMID41414875
PMCPMC12715415

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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.