Evidence map›Paper›PMID 26034497›Full record

ArticleJournal of contemporary brachytherapy2015

Efficacy and safety of image-guided interstitial single fraction high-dose-rate brachytherapy in the management of metastatic malignant melanoma.

Tina Bretschneider, Konrad Mohnike, Peter Hass, Ricarda Seidensticker, Daniela Göppner, Oliver Dudeck, Florian Streitparth, Jens Ricke

Open access · goldAbstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 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
0.6field-weighted citation impact, top 28% 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, 13 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

8 authors at 3 institutions in 1 country.

Tina BretschneiderDepartment of Radiology and Nuclear Medicine, University of Magdeburg.
Konrad MohnikeDepartment of Radiology and Nuclear Medicine, University of Magdeburg.
Peter HassDepartment of Radiation Therapy, University of Magdeburg.
Ricarda SeidenstickerDepartment of Radiology and Nuclear Medicine, University of Magdeburg.
Daniela GöppnerDepartment of Dermatology and Venerology, University of Magdeburg.
Oliver DudeckDepartment of Radiology and Nuclear Medicine, University of Magdeburg.
Florian StreitparthDepartment of Radiology, Charite, Humboldt-University, Berlin, Germany.
Jens RickeDepartment of Radiology and Nuclear Medicine, University of Magdeburg.
University Hospital Magdeburg · DECharité - Universitätsmedizin Berlin · DEOtto-von-Guericke University Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComputed tomography (CT) or magnetic resonance imaging (MRI) guided brachytherapy provides high tumor control rates in hepatocellular carcinoma (HCC) and colorectal liver metastases. In contrast to thermal ablation methods such as radiofrequency ablation (RFA), much less restrictions apply with respect to tumor location or size. In this study, we determined the efficacy and safety of CT- or MRI-guided brachytherapy in metastatic melanoma. MATERIAL AND

methodsFifty-two metastases of malignant melanoma in 14 patients were included in this retrospective study. Local tumor control and safety were evaluated as primary and secondary endpoints. Furthermore, we evaluated overall survival and progression free survival. Tumor locations were liver (n = 31), lung (n = 15), adrenal (n = 3), lymph nodes (n = 2), and kidney (n = 1). Treatment planning was performed using three-dimensional CT or MRI data acquired after percutaneous applicator positioning under CT or open MRI guidance. Subsequently, single fraction high-dose-rate (HDR) brachytherapy was applied using a (192)Iridium source. Clinical and cross-sectional follow-up were performed every 3 months post intervention.

resultsThe median diameter of treated lesions was 1.5 cm (range: 0.7-10 cm). Doses between 15 and 20 Gy were applied (median dose: 19.9 Gy). The mean irradiation time ranged between 7-45 minutes. After treatment, there was one patient with a cholangitis. After a median follow up of five months, the median local tumor control was 90%. The median overall survival of the patients was 8 months. The median progression free survival of the patients was 6 months.

conclusionsImage-guided HDR brachytherapy is a safe and effective treatment procedure in metastatic malignant melanoma.

Indexed as

brachytherapyCT- and MRI-guided interventionhigh-dose-ratemalignant melanomametastases

Identifiers

PMID26034497
PMCPMC4444457
OpenAlexW2419590890

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.