Evidence map›Paper›PMID 24977151›Full record

ArticleBioMed research international2014

Hypofractionated high-dose irradiation with positron emission tomography data for the treatment of glioblastoma multiforme.

Kazuhiro Miwa, Masayuki Matsuo, Shin-ichi Ogawa, Jun Shinoda, Yoshitaka Asano, Takeshi Ito, Kazutoshi Yokoyama, Jitsuhiro Yamada, Hirohito Yano, Toru Iwama

Abstract read
In one paragraph

Article in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Potential impact of [Radiation oncology (London, England) · 2025
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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

10 authors.

Kazuhiro MiwaChubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan ; Department of Neurosurgery, Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, 630 Shimokobi, Kobi-cho, Minokamo, Gifu 505-0034, Japan.
Masayuki MatsuoDepartment of Radiation Oncology, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.
Shin-ichi OgawaDepartment of Radiation Oncology, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.
Jun ShinodaChubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.ORCID 0000-0002-8106-4588
Yoshitaka AsanoChubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.
Takeshi ItoDepartment of Neurosurgery, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.ORCID 0000-0003-2236-9282
Kazutoshi YokoyamaDepartment of Neurosurgery, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.
Jitsuhiro YamadaDepartment of Neurosurgery, Kizawa Memorial Hospital, Minokamo, Gifu 505-0034, Japan.
Hirohito YanoDepartment of Neurosurgery, Gifu University Graduate School of Medicine, Gifu 501-1193, Japan.ORCID 0000-0002-4252-4780
Toru IwamaDepartment of Neurosurgery, Gifu University Graduate School of Medicine, Gifu 501-1193, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This research paper presents clinical outcomes of hypofractionated high-dose irradiation by intensity-modulated radiation therapy (Hypo-IMRT) with (11)C-methionine positron emission tomography (MET-PET) data for the treatment of glioblastoma multiforme (GBM). A total of 45 patients with GBM were treated with Hypo-IMRT after surgery. Gross tumor volume (GTV) was defined as the area of enhanced lesion on MRI, including MET-PET avid region; clinical target volume (CTV) was the area with 5 mm margin surrounding the GTV; planning target volume (PTV) was the area with 15 mm margin surrounding the CTV, including MET-PET moderate region. Hypo-IMRT was performed in 8 fractions; planning the dose for GTV was escalated to 68 Gy and that for CTV was escalated to 56 Gy, while keeping the dose delivered to the PTV at 40 Gy. Concomitant and adjuvant TMZ chemotherapy was administered. At a median follow-up of 18.7 months, median overall survival (OS) was 20.0 months, and median progression-free survival was 13.0 months. The 1- and 2-year OS rates were 71.2% and 26.3%, respectively. Adjuvant TMZ chemotherapy was significantly predictive of OS on multivariate analysis. Late toxicity included 7 cases of Grade 3-4 radiation necrosis. Hypo-IMRT with MET-PET data appeared to result in favorable survival outcomes for patients with GBM.

Indexed as

Dose Fractionation, RadiationPositron-Emission TomographyAdultAgedAged, 80 and overAntineoplastic AgentsDisease-Free SurvivalDisease ProgressionFemaleFollow-Up StudiesGlioblastomaHumansMagnetic Resonance ImagingMaleMiddle AgedMultivariate AnalysisAntineoplastic Agents

Identifiers

PMID24977151
PMCPMC4055095

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Registered trials

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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.