Evidence map›Paper›PMID 25258684›Full record

ReviewInternational journal of breast cancer2014

Boost IORT in Breast Cancer: Body of Evidence.

Felix Sedlmayer, Roland Reitsamer, Christoph Fussl, Ingrid Ziegler, Franz Zehentmayr, Heinz Deutschmann, Peter Kopp, Gerd Fastner

Open access · goldAbstract readReview
In one paragraph

Review in International journal of breast cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. The evolution of targeted intra operative radiotherapy in early breast cancer.Journal of cancer research and clinical oncology · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Intraoperative radiotherapy boost as part of breast-conservation therapy for breast cancer: a single-institution retrospective analysis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Present state and issues in IORT Physics.Radiation oncology (London, England) · 2017
    Review
  12. Current controversies in radiotherapy for breast cancer.Radiation oncology (London, England) · 2017
    Review
  13. Intraoperative radiotherapy (IORT) as boost in breast cancer.Radiation oncology (London, England) · 2017
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Is IORT ready for roll-out?Ecancermedicalscience · 2015
    Review
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

8 authors at 1 institution in 1 country.

Felix SedlmayerDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria ; Institute of Research and Development of Advanced Radiation Technologies (radART), Paracelsus Medical University, 5020 Salzburg, Austria.
Roland ReitsamerDepartment of Special Gynecology and Breast Center, General Hospital, Paracelsus Medical University Clinics, 5020 Salzburg, Austria.
Christoph FusslDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.
Ingrid ZieglerDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.
Franz ZehentmayrDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria ; Institute of Research and Development of Advanced Radiation Technologies (radART), Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0001-5931-3907
Heinz DeutschmannDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria ; Institute of Research and Development of Advanced Radiation Technologies (radART), Paracelsus Medical University, 5020 Salzburg, Austria.
Peter KoppDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.
Gerd FastnerDepartment of Radiotherapy and Radio-Oncology, LKH Salzburg, General Hospital, Paracelsus Medical University Clinics, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.ORCID 0000-0002-7951-1246
Paracelsus Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term IORT (intraoperative radiotherapy) is currently used for various techniques that show decisive differences in dose delivery. The largest evidence for boost IORT preceding whole breast irradiation (WBI) originates from intraoperative electron treatments with single doses around 10 Gy, providing outstandingly low local recurrence rates in any risk constellation also at long term analyses. Compared to other boost methods, an intraoperative treatment has evident advantages as follows. Precision. Direct visualisation of the tumour bed during surgery guarantees an accurate dose delivery. This fact has additionally gained importance in times of primary reconstruction techniques after lumpectomy to optimise cosmetic outcome. IORT is performed before breast tissue is mobilised for plastic purposes. Cosmesis. As a consequence of direct tissue exposure without distension by hematoma/seroma, IORT allows for small treatment volumes and complete skin sparing, both having a positive effect on late tissue tolerance and, hence, cosmetic appearance. Patient Comfort. Boost IORT marginally prolongs the surgical procedure, while significantly shortening postoperative radiotherapy. Its combination with a 3-week hypofractionated external beam radiotherapy to the whole breast (WBI) is presently tested in the HIOB trial (hypofractionated WBI preceded by IORT electron boost), a prospective multicenter trial of the International Society of Intraoperative Radiotherapy (ISIORT).

Identifiers

PMID25258684
PMCPMC4167210
OpenAlexW1966876500

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.