Evidence map›Paper›PMID 41490982›Full record

ReviewMedical physics2026

Patient radiation dosimetry for fluoroscopically guided interventions - a review of the history and limitations.

Kevin A Wunderle, Stephen Balter

Abstract readReview
In one paragraph

Review in Medical physics, 2026. 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. Review
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

2 authors.

Kevin A WunderleDivision of Medical Physics, Department of Radiology, College of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Stephen BalterDepartments of Radiology and Medicine, The Columbia University Medical Center, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluoroscopically guided interventions (FGIs) play a critical role in modern medicine, though they potentially deliver high radiation doses that require accurate and patient-specific dosimetry for risk assessment and patient management. This review provides a historical overview of radiation dosimetry in fluoroscopy, tracing the evolution from rudimentary dose estimation methods to modern tools leveraging standardized dose indices and radiation dose structured reports (RDSRs) for radiation dosimetry at the skin surface as well as at depth in soft tissue. Despite these advancements, substantial uncertainties remain due to technical limitations, beam geometry, dose mapping challenges, and hardware-induced variability. Key sources of uncertainty are examined, some well-known and others that are not well-understood. This work also underscores the need for a deeper understanding of the assumptions and limitations in automated dosimetry systems and calls for enhanced reporting standards and dose mapping capabilities to improve accuracy. Addressing these limitations is essential for integrating radiobiological principles into clinical medical physics and optimizing patient care in FGIs.

Indexed as

FluoroscopyRadiometryRadiotherapy, Image-GuidedHumansRadiation Dosagedosimetryfluoroscopically guided interventions (FGI)

Identifiers

PMID41490982
PMCPMC12768892

What OpenQuestion holds

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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.