Evidence map›Paper›PMID 42744765›Full record

ArticleJournal of applied clinical medical physics2026

Preclinical feasibility of EPID-based transit dosimetry for total body irradiation.

Tetsu Nakaichi, Hiroyuki Okamoto, Mitsuhiro Kon, Kazuki Takaso, Ako Aikawa, Satoshi Nakamura, Kotaro Iijima, Takahito Chiba, Hiroki Nakayama, Tomonori Goka and 1 more

Abstract read
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

11 authors.

Tetsu NakaichiSection of Radiation Safety and Quality Assurance, National Cancer Center Hospital, Tokyo, Japan.
Hiroyuki OkamotoSection of Radiation Safety and Quality Assurance, National Cancer Center Hospital, Tokyo, Japan.
Mitsuhiro KonDepartment of Radiology, Tokyo Medical Center, National Hospital Organization, Tokyo, Japan.
Kazuki TakasoDepartment of Radiological Technology, National Cancer Center Hospital, Tokyo, Japan.
Ako AikawaDepartment of Radiological Technology, National Cancer Center Hospital, Tokyo, Japan.
Satoshi NakamuraSection of Radiation Safety and Quality Assurance, National Cancer Center Hospital, Tokyo, Japan.
Kotaro IijimaDepartment of Radiation Oncology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Takahito ChibaSection of Radiation Safety and Quality Assurance, National Cancer Center Hospital, Tokyo, Japan.
Hiroki NakayamaSection of Radiation Safety and Quality Assurance, National Cancer Center Hospital, Tokyo, Japan.
Tomonori GokaDepartment of Radiological Technology, National Cancer Center Hospital, Tokyo, Japan.
Hiroshi IgakiDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.

Funding

Cancer Intelligence Care Systems, Inc.Ministry of Education, Culture, Sports, Science, and Technology 22K15812National Cancer Center Research and Development Fund 2-25-A-12
6 · The paper itself

Abstract

backgroundConventional extended-distance total body irradiation (TBI) is commonly verified using point dosimeters, which provide limited spatial information and require additional handling during a prolonged treatment procedure. A portable charge-coupled device (CCD)-based electronic portal imaging device (EPID) positioned downstream of the patient may provide wider-area transit information in a geometry in which a gantry-mounted EPID cannot readily be used. PURPOSE: To develop and perform preclinical phantom validation of a CCD-EPID method for transit dose estimation during fixed-field long-SSD TBI and to identify the calibration and normalization factors relevant to subsequent patient validation.

methodsA portable CCD-based EPID was positioned at 400 cm, with water-equivalent or anthropomorphic phantoms centered at 350 cm. Direct-irradiation characteristics were evaluated for 4- and 10-MV photon beams, including signal response to dose-rate/delivered MU, field size, short-term frame reproducibility, and in-plane response. For ETD calibration, 6-36-cm-thick water-equivalent phantoms were irradiated with 10-MV photons using 1000 MU at 600 MU/min and a 10 × 10 cm

resultsThe 10-MV EPID signal was highly linear with dose rate/delivered MU (r = .999) and field size (r = .995). Flatness was 1.4% and 1.3%, and symmetry was .3% and 1.4%, in the ceiling-floor and gun-target directions, respectively. The summed EPID signal-to-ionization-chamber dose relationship showed R

conclusionsThis preclinical phantom study demonstrates the feasibility of wide-area CCD-EPID transit-dose estimation for conventional long-SSD TBI. Agreement in homogeneous phantoms supports the calibration approach, while the positive RANDO bias identifies the need for same-day sensitivity normalization and further validation in repeated anthropomorphic, heterogeneous, lung-shielded, and full-clinical-field conditions before patient application.

Indexed as

Phantoms, ImagingRadiometryRadiotherapy Planning, Computer-AssistedWhole-Body IrradiationCalibrationFeasibility StudiesHumansRadiotherapy DosageRadiotherapy, Intensity-ModulatedReproducibility of Resultselectronic portal imaging devicetotal body irradiationtransit dosimetry

Identifiers

PMID42744765
PMCPMC13577935

What OpenQuestion holds

Textmetadata
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.