Evidence map›Paper›PMID 25943106›Full record

ArticleRadiation oncology (London, England)2015

Carbon Ion irradiation in the treatment of grossly incomplete or unresectable malignant peripheral nerve sheaths tumors: acute toxicity and preliminary outcome.

Alexandra D Jensen, Matthias Uhl, Naved Chaudhri, Klaus K Herfarth, Juergen Debus, Falk Roeder

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Alexandra D JensenDepartment of Radiation Oncology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. alexdjensen@gmx.de.
Matthias UhlDepartment of Radiation Oncology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. Matthias.Uhl@med.uni-heidelberg.de.
Naved ChaudhriDepartment of Medical Physics, Heidelberg Ion Beam Therapy Centre (HIT), Heidelberg, Germany. Naved.Chaudhri@med.uni-heidelberg.de.
Klaus K HerfarthDepartment of Radiation Oncology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. Klaus.Herfarth@med.uni-heidelberg.de.
Juergen DebusDepartment of Radiation Oncology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. Juergen.Debus@med.uni-heidelberg.de.
Falk RoederDepartment of Radiation Oncology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. Falk.Roeder@med.uni-muenchen.de.
Heidelberg University · DEGerman Cancer Research Center · DEHeidelberger Institut für Radioonkologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo report our early experience with carbon ion irradiation in the treatment of gross residual or unresectable malignant peripheral nerve sheath tumors (MPNST).

methodsWe retrospectively analysed 11 patients (pts) with MPNST, who have been treated with carbon ion irradiation (C12) at our institution between 2010 and 2013. All pts had measurable gross disease at the initiation of radiation treatment. Median age was 47 years (29-79). Tumors were mainly located in the pelvic/sacral (5 pts) and sinunasal/orbital region (5 pts). 5 pts presented already in recurrent situation, 3 pts had been previously irradiated, and in 3 pts MPNST were neurofibromatosis type 1 (NF1) associated. Median cumulative dose was 60 GyE. Treatment was carried out either as a combination of IMRT plus C12 boost (4 pts) or C12 only (7 pts).

resultsMedian follow-up was 17 months (3-31 months). We observed 3 local progressions, translating into estimated 1- and 2-year local control rates of 65%. One patient developed distant failure, resulting in estimated 1- and 2-year PFS rates of 56%. Two patients have died, therefore the estimated 1- and 2-year OS rates are 75%. Acute radiation related toxicities were generally mild, no grade 3 side effects were observed. Severe late toxicity (grade 3) was scored in 2 patients (trismus, wound healing delays).

conclusionCarbon ion irradiation yields very promising short term local control and overall survival rates with low morbidity in patients suffering from gross residual or unresectable malignant peripheral nerve sheath tumors and should be further investigated in a prospective trial.

Indexed as

AdultAgedFemaleHeavy Ion RadiotherapyHumansMaleMiddle AgedNeoplasm StagingNeurilemmomaPrognosisRadiation InjuriesRadiotherapy Planning, Computer-AssistedRetrospective StudiesSurvival Rate

Identifiers

PMID25943106
PMCPMC4432820
OpenAlexW1591444580

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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.