Evidence map›Paper›PMID 41491606›Full record

ArticleMedical physics2026

Investigation of inter-source and intra-source spectral variations in an electronic brachytherapy source using spectral measurements and Monte Carlo simulations.

Azin Esmaelbeigi, Nada Tomic, Jonathan Kalinowski, Peter G F Watson, Mark J Rivard, Slobodan Devic, Shirin A Enger

Abstract read
In one paragraph

Article 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. 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

7 authors.

Azin EsmaelbeigiMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Nada TomicMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Jonathan KalinowskiMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Peter G F WatsonMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Mark J RivardDepartment of Radiation Oncology, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Slobodan DevicMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Shirin A EngerMedical Physics Unit, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Funding

Canada Research Chair Program 252135Natural Sciences and Engineering Research Council of Canada 03251
6 · The paper itself

Abstract

backgroundThe Xoft electronic brachytherapy source is commonly used to treat superficial lesions and tumors located at shallow depths. However, uncertainties in material composition and geometry, mainly arising due to the manual assembly of the x-ray tube components, contribute to inter-source variability in the tube output spectrum. In addition, aging of the x-ray tube may lead to intra-source variability in the tube spectrum. PURPOSE: To investigate the inter- and intra-source variability of the spectrum for the Xoft S7500 model experimentally and through simulations, as well as to study the impact of this variability on dosimetry.

methodsThe Amptek X123 CdTe x-ray spectrometer was used to measure the spectrum of the Xoft S7500 source model. First, the spectrometer was calibrated using

resultsThe calibration line was obtained to correspond the detector channels to the energy in keV using linear regression. Escape peak and background corrections were performed on the spectrum, and the counts in the K-edges of cadmium (26.7 keV) and tellurium (31.8 keV) were readjusted so that the silver peaks were more clearly resolved. Intra-source variability demonstrated consistent peak resolution for tungsten, yttrium, and silver, with a coefficient of variation (CV) ranging from 0.5% to 9.8%. Inter-source variability highlighted significant differences between tip and side measurements, with up to 13.5% variation. Simulated spectra revealed the impact of material composition on the characteristic peak intensities, with the intensity of the peaks in the measured spectra lying between simulated spectra in the case of higher and lower percentage limits of yttrium and silver present in the material composition. Depth-dose simulations showed minimal differences (<1.2%) between material compositions.

conclusionsThis study comprehensively compared the measured and simulated spectra of the Xoft S7500 source model. The differences in the depth-dose curves are within 2% as recommended by the AAPM TG-56

Indexed as

BrachytherapyMonte Carlo MethodCalibrationRadiometryelectronic brachytherapymonte carlo simulationsspectral measurements

Identifiers

PMID41491606
PMCPMC12768893

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