Evidence map›Paper›PMID 42507318›Full record

ArticleJournal of applied clinical medical physics2026

Development and validation of an automated evaluation system for lattice radiotherapy using a commercial treatment planning system scripting API.

Xingliu Wang, Ruifeng Zhao, Yongqiang Li, Qinghua Xu

Abstract readValidation Study
In one paragraph

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.

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

4 authors.

Xingliu WangDepartment of Radiation Oncology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Ruifeng ZhaoDepartment of Radiation Oncology, School of Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Yongqiang LiDepartment of Medical Physics, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Qinghua XuDepartment of Radiation Oncology, School of Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.

Funding

CSCO - HANSOH Cancer Research Fund - Key Project Y-HS202102-0199Shanghai Pulmonary Hospital 2025 National Natural Science Foundation Cultivation Project fkzr2518
6 · The paper itself

Abstract

purposeClinical implementation of lattice radiotherapy (LRT) remains constrained by the absence of standardized, automated tools for comprehensive post-plan dosimetric analysis within commercial treatment planning systems (TPS). Herein, an automated script-based tool was developed using the Eclipse Scripting API (ESAPI) to enable rapid, standardized calculation of key LRT-specific metrics, including peak-to-valley dose ratio (PVDR), equivalent uniform dose (EUD), and ablative dose ratio (ADR).

methodsA modular computational architecture comprising four functional layers was implemented: (1) user interface for protocol configuration, (2) computation layer integrating multiple PVDR algorithms, (3) data service layer providing direct read-only access to three-dimensional dose and anatomical data via ESAPI, and (4) reporting module. To accommodate ESAPI security restrictions, a dual-script architecture incorporating a preprocessing sphere segmentation module was established. Validation was performed using a retrospective cohort of 12 lung cancer LRT patients, with accuracy assessed against manual TPS measurements and established reference values.

resultsConcordance between automated and manual TPS measurements was high. Standard dose-volume parameter extraction exhibited perfect agreement. For spatially explicit PVDR analysis, mean absolute error relative to manual profile assessment was 0.034 (absolute VPDR units). EUD calculations deviated less than 3% from published reference data. Evaluation time per plan was reduced from 15.41 ± 3.20 min (manual) to 1.97 ± 0.34 min (automated), representing a 7.8-fold efficiency gain with elimination of inter-operator variability.

conclusionThis ESAPI-based tool automates and standardizes dosimetric evaluation of LRT, addressing a practical workflow bottleneck. Integration of multiple calculation methods within a deterministic framework establishes a shareable benchmark for consistent multi-institutional analysis, providing a foundation for future investigations correlating detailed dosimetric parameters with clinical outcomes in spatially fractionated radiotherapy.

Indexed as

AlgorithmsLung NeoplasmsRadiotherapy Planning, Computer-AssistedSoftwareAutomationHumansOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-ModulatedRetrospective Studiesdosimetric evaluationEclipse scripting APIlattice radiotherapyspatially fractionated radiation therapytreatment planning system

Identifiers

PMID42507318
PMCPMC13404247

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.