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HyperArc VMAT planning for single and multiple brain metastases stereotactic radiosurgery: a new treatment planning approach

Overview of attention for article published in Radiation Oncology, January 2018
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About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (61st percentile)

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Title
HyperArc VMAT planning for single and multiple brain metastases stereotactic radiosurgery: a new treatment planning approach
Published in
Radiation Oncology, January 2018
DOI 10.1186/s13014-017-0948-z
Pubmed ID
Authors

Shingo Ohira, Yoshihiro Ueda, Yuichi Akino, Misaki Hashimoto, Akira Masaoka, Takero Hirata, Masayoshi Miyazaki, Masahiko Koizumi, Teruki Teshima

Abstract

The HyperArc VMAT (HA-VMAT) planning approach was newly developed to fulfill the demands of dose delivery for brain metastases stereotactic radiosurgery. We compared the dosimetric parameters of the HA-VMAT plan with those of the conventional VMAT (C-VMAT). For 23 patients (1-4 brain metastases), C-VMAT and HA-VMAT plans with a prescription dose of 20-24 Gy were retrospectively generated, and dosimetric parameters for PTV (homogeneity index, HI; conformity index, CI; gradient index, GI) and brain tissue (V2Gy-V16Gy) were evaluated. Subsequently, the physical characteristics (modulation complexity score for VMAT, MCSV; Monitor unit, MU) of both treatment approaches were compared. HA-VMAT provided higher HI (1.41 ± 0.07 vs. 1.24 ± 0.07, p < 0.01), CI (0.93 ± 0.02 vs. 0.90 ± 0.05, p = 0.01) and lower GI (3.06 ± 0.42 vs. 3.91 ± 0.55, p < 0.01) values. Moderate-to-low dose spreads (V4Gy-V16Gy) were significantly reduced (p < 0.01) in the HA-VMAT plan over that of C-VMAT. HA-VMAT plans resulted in more complex MLC patterns (lower MCSV, p < 0.01) and higher MU (p < 0.01). HA-VMAT plans provided significantly higher conformity and rapid dose falloff with respect to the C-VMAT plans.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 112 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 112 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 16%
Student > Ph. D. Student 16 14%
Other 15 13%
Student > Master 13 12%
Student > Bachelor 5 4%
Other 10 9%
Unknown 35 31%
Readers by discipline Count As %
Medicine and Dentistry 33 29%
Physics and Astronomy 23 21%
Engineering 6 5%
Nursing and Health Professions 5 4%
Psychology 1 <1%
Other 3 3%
Unknown 41 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 February 2018.
All research outputs
#13,063,787
of 23,018,998 outputs
Outputs from Radiation Oncology
#575
of 2,073 outputs
Outputs of similar age
#207,657
of 441,593 outputs
Outputs of similar age from Radiation Oncology
#16
of 42 outputs
Altmetric has tracked 23,018,998 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,073 research outputs from this source. They receive a mean Attention Score of 2.7. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 441,593 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.