Evidence map›Paper›PMID 42638949›Full record

ArticleFrontiers in oncology2026

Reliability of radiotherapist assessment for radiation induced skin-toxicity: investigational study.

Lilian Doerwald-Munoz, Joseph Hayward, Fahad Alghannam, Qiyin Fang, Mohamed Hisham Aref, Ramy Abdlaty

Abstract read
In one paragraph

Article in Frontiers in oncology, 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

6 authors.

Lilian Doerwald-MunozJuravinski Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada.
Joseph HaywardJuravinski Cancer Centre, Hamilton Health Sciences, Hamilton, ON, Canada.
Fahad AlghannamMicroelectronics and Semiconductors Institute, King Abdulaziz City for Science and Technology (KACST), Riyadh, Saudi Arabia.
Qiyin FangEngineering Physics, McMaster University, Hamilton, ON, Canada.
Mohamed Hisham ArefEgyptian Armed Forces, Cairo, Egypt.
Ramy AbdlatyEgyptian Armed Forces, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Enhancing the quality of radiotherapy for skin cancer requires systematic evaluation of radiation-induced skin toxicity, particularly acute toxicity, which affects ~90% of patients receiving ionizing radiation. This study assessed the reliability of a newly developed visual grading tool, the Clinician Erythema Assessment-Radiation Therapy (CEA-RT), designed to help radiation clinicians evaluate early radiation dermatitis. Methods and materials: The CEA-RT tool utilizes a 5-point scale. Its reliability was evaluated by analyzing intra-rater and inter-rater agreement among clinicians, as well as its concordance with an expert reference standard against a reference standard. The assessment was conducted using digital images. Results: The study's results showed high intra-rater reliability, with 98% of scores falling within ±1 grade and consistent grading for regions of interest (ROI). However, inter-rater agreement was only fair, indicating variability among different clinicians. Concordance with an expert reference standard against a reference standard was moderate, with 25-30% of therapists achieving high concordance and over 50% showing moderate agreement. Conclusions: The findings support the CEA-RT scale as a reliable tool for individual use. However, study limitations included variable time gaps between sessions, recall bias, fatigue, and reliance on digital images. The results emphasize the need for additional training,

Indexed as

dermatologydigital imaging in medicineionizing radioactivityradiation therapyskin erythemaskin rednessskin toxicityvisual diagnosis

Identifiers

PMID42638949
PMCPMC13500319

What OpenQuestion holds

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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.