Evidence map›Paper›PMID 42415323›Full record

ArticleJournal of applied clinical medical physics2026

Effects of air on the dosimetric robustness of treatment plans for prostate cancer in the presence of intrafractional, anatomical changes during online adaptive radiotherapy.

Nika Guberina, Aymane Khouya, Alina Santiago Garcia, Christoph Pöttgen, Thomas Gauler, Gerrit Fischedick, Christopher Darr, Toke Printz Ringbæk, Maja Guberina, Martin Stuschke

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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. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Nika GuberinaDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Aymane KhouyaDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.ORCID https://orcid.org/0009-0002-3332-408X
Alina Santiago GarciaDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Christoph PöttgenDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Thomas GaulerDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Gerrit FischedickDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Christopher DarrDepartment of Urology, West German Cancer Center, University Hospital Essen, Essen, Germany.
Toke Printz RingbækDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Maja GuberinaDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.
Martin StuschkeDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen University of Duisburg Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the online adaptive platform, a linear Boltzmann-transport-equation-solver (LBTE) as calculation algorithm is implemented for dose optimization. This class-C-optimizer is known to counteract the dose decrease at boundaries of small fields due to electronic disequilibrium by increasing the fluence to achieve the goals of dose homogeneity within the PTV. PURPOSE: To analyze the dosimetric sensitivity of adaptive treatment plans for prostate cancer to intrafractional anatomic changes in the presence of rectal air using a CBCT-based adaptive platform.

methodsIn the first part of the study planning CT scans (CT

resultsWOR within PTV∩Air-structure overlap resulted in increases of the analyzed dosimetric characteristics. D

conclusionsPTV∩Air larger than 5 mm led to LBTE-optimized treatment plans, that are sensitive to anatomic soft tissue shifts larger than 5 mm in posterior direction with respect to dose homogeneity. PTV∩Air-overlaps up to 5 mm led to LBTE-optimized treatment plans, that showed only minor sensitivities to anatomic soft tissue shifts of 2-5 mm in posterior direction with respect to dose homogeneity. During online adaptive radiotherapy, the presence of rectal air pockets or an air-filled rectal balloon did not result in clinically relevant dose increases, provided that intrafractional motion-induced soft tissue shifts remained within 5 mm in the posterior direction.

Indexed as

AirProstatic NeoplasmsRadiotherapy Planning, Computer-AssistedAlgorithmsCone-Beam Computed TomographyDose Fractionation, RadiationHumansMaleOrgans at RiskRadiometryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRectumadaptive radiation therapydose inhomogeneityplan robustnessprostate cancer

Identifiers

PMID42415323
PMCPMC13341946

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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.