Evidence map›Paper›PMID 41984545›Full record

ArticleMedical physics2026

Enable preclinical, high-precision image-guided radiotherapy research with a stand-alone small animal IGRT system.

Wei Deng, Dong Han, Kevin E Byrne, Binny Bhandary, Kai Jiang, Yannick P Poirier, Sina Mossahebi, Junliang Xu, Hem Shukla, Amit Sawant

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Wei DengMaryland Proton Treatment Center, University of Maryland Medical Center, Baltimore, Maryland, USA.
Dong HanMaryland Proton Treatment Center, University of Maryland Medical Center, Baltimore, Maryland, USA.
Kevin E ByrneDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Binny BhandaryDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Kai JiangDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Yannick P PoirierDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Sina MossahebiMaryland Proton Treatment Center, University of Maryland Medical Center, Baltimore, Maryland, USA.
Junliang XuDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Hem ShuklaDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Amit SawantDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany preclinical studies involving novel particle radiotherapy techniques have been conducted without precise image guidance due to the lack of an image-guided small animal radiotherapy research platform for them, such as ultra-high dose rate radiation (UHDR), mini-beam, and grid therapy. This limitation restricts the complexity of research questions that can be effectively addressed. PURPOSE: We developed a workflow to utilize 3D imaging on a Small Animal Radiation Research Platform (SARRP) for precise targeting of internal regions in small animals with a separated treatment beam.

methodsOur approach mimics the workflow of patient treatment to decouple the imaging process from the radiation system. The SARRP cone-beam CT system was used to image and center the target. Alignment markers were then added to the top surface of the animal platform using the SARRP's well-calibrated laser system, which was consequently transferred and aligned to a collimator in a clinical treatment room. Validation of the method was performed using BB targets within both a mouse phantom and a euthanized rat. The distance between the center of the radiation field and the BB was measured to determine the setup error for the entire procedure. The use of a collimator reduces the impact of setup uncertainty in the treatment room.

resultsOur approach achieved a setup accuracy of approximately 0.5 mm, ensuring the target was consistently positioned at the center of the collimated radiation field center after transferring from the SARRP system. This is comparable to the isocentricity of the SARRP itself (∼±0.5 mm).

conclusionsBy decoupling the imaging and radiation systems while maintaining sub-millimeter setup accuracy, this workflow introduces flexibility for conducting high-precision, image-guided preclinical studies across different radiation modalities and techniques, for example, protons, electrons, neutrons, UHDR (FLASH), Small-Field-RT, etc. The workflow uses simple equipment and can be easily implemented by other centers.

Indexed as

Radiotherapy, Image-GuidedAnimalsCone-Beam Computed TomographyImaging, Three-DimensionalMicePhantoms, ImagingRatsFLASHimage‐guided small animal irradiationpreclinical (in vivo) studies

Identifiers

PMID41984545
PMCPMC13082439

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LicenceCC BY-NC-ND
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Registered trials

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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.