Although the number of citations a published paper receives over subsequent years tells us much about its enduring academic importance and clinical impact, there is nothing more immediate than studying the number of electronic downloads that papers receive to determine what is of importance to the radiation oncology community right now. The word “trending” has crept into Internet parlance to describe this up-to-the-minute monitor of the fluctuating interests of an audience. Over the last few years, the Red Journal has published a summary of its most downloaded papers from the previous year. These downloads are recorded by our publisher, Elsevier, via ScienceDirect, the publisher’s library platform.
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