Evidence map›Paper›PMID 25963478›Full record

ArticleAnnals of surgical oncology2016

A Phase I Dose-Escalation Trial of Single-Fraction Stereotactic Radiation Therapy for Liver Metastases.

Jeffrey J Meyer, Ryan D Foster, Naama Lev-Cohain, Takeshi Yokoo, Ying Dong, Roderich E Schwarz, William Rule, Jing Tian, Yang Xie, Raquibul Hannan and 3 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Annals of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 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

13 authors at 6 institutions in 1 country.

Jeffrey J MeyerDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA. jeffrey.meyer@utsouthwestern.edu.
Ryan D FosterDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Naama Lev-CohainDepartment of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.
Takeshi YokooDepartment of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.
Ying DongDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Roderich E SchwarzDepartment of Surgery, Indiana University Health Goshen Center for Cancer Care, Indiana University School of Medicine, Goshen, IN, USA.
William RuleDepartment of Radiation Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
Jing TianDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Yang XieDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Raquibul HannanDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Lucien NedziDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Timothy SolbergDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
Robert TimmermanDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Southwestern Medical CenterThe University of Texas Southwestern Medical Center · USSouthwestern Medical Center · USMayo Clinic in Florida · USUniversity of Pennsylvania · USUniversity School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is significant interest in the use of stereotactic ablative radiotherapy (SABR) as a treatment modality for liver metastases. A variety of SABR fractionation schemes are in clinical use. We conducted a phase I dose-escalation study to determine the maximum tolerated dose of single-fraction liver SABR.

methodsPatients with liver metastases from solid tumors, for whom a critical volume dose constraint could be met, were treated with single-fraction SABR. Seven patients were enrolled to the first group, with a prescription dose of 35 Gy. Dose was then escalated to 40 Gy in a single fraction, and seven more patients were treated at this dose level. Patients were followed for toxicity and underwent serial imaging to assess lesion response and local control.

resultsFourteen patients with 17 liver metastases were treated. There were no dose-limiting toxicities observed at either dose level. Nine of the 13 lesions assessable for treatment response showed a complete radiographic response to treatment; the remainder showed partial response. Local control of irradiated lesions was 100 % at a median imaging follow-up of 2.5 years. Two-year overall survival for all patients was 78 %.

conclusionsFor selected patients with liver metastases, single-fraction SABR at doses of 35 and 40 Gy is tolerable and shows promising signs of efficacy at intermediate follow-up.

Indexed as

Dose Fractionation, RadiationAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingPrognosisRadiotherapy Planning, Computer-AssistedSurvival Rate

Identifiers

PMID25963478
PMCPMC4695498
OpenAlexW1895794010

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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.