Evidence map›Paper›PMID 42503533›Full record

ArticleJournal of applied clinical medical physics2026

A geometry-based scaling model for stereotactic treatment volume definition in stereotactic centralized ablative radiation therapy.

Ningjing Siah, Pengyuan Qi, Bin Hu, Mi Chen, Ting Cao, Xin Li, Jun Han

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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

7 authors.

Ningjing SiahCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Pengyuan QiCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Bin HuCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Mi ChenCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ting CaoCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xin LiDepartment of Radiation Oncology, The Second People's Hospital of Yichang, The Second People's Hospital of China Three Gorges University, Yichang, Hubei, China.
Jun HanCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereotactic Centralized Ablative Radiation Therapy (SCART) is a spatially fractionated radiotherapy strategy designed for large or bulky tumors by delivering an intensified ablative dose to a centrally located subvolume while allowing controlled dose reduction toward the tumor periphery. However, clinical implementation of SCART critically depends on reproducible definition of the stereotactic treatment volume (STV), which currently lacks a standardized geometric framework. PURPOSE: To develop and preliminarily evaluate a geometry-based scaling model for STV definition based on internal dose fall-off characteristics under stereotactic volumetric modulated arc therapy (VMAT) delivery.

methodsA phantom-based stereotactic VMAT planning study was performed using idealized cylindrical STVs with radii of 1-3 cm and axial lengths of 3-10 cm. VMAT plans were generated using prescription doses of 15-24 Gy per fraction over three fractions. Internal dose fall-off was quantified using the equivalent radius (r

resultsThe extracted 15 Gy isodose surface demonstrated reproducible geometry-associated attenuation behavior across the investigated stereotactic VMAT configurations. The equivalent radius (r

conclusionThis study establishes a geometry-based STV scaling framework for SCART based on reproducible internal dose fall-off characteristics under stereotactic VMAT delivery. The proposed dose-specific regression model provides a practical and physically interpretable approach for inward STV scaling from measurable gross tumor volume geometry and may support more reproducible implementation of SCART planning.

Indexed as

NeoplasmsPhantoms, ImagingRadiosurgeryRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedAlgorithmsHumansOrgans at RiskRadiotherapy Dosagespatially fractionated radiotherapystereotactic centralized ablative radiation therapy (SCART)stereotactic treatment volumetarget volume definitionVMAT

Identifiers

PMID42503533
PMCPMC13402241

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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.