Evidence map›Paper›PMID 26168782›Full record

Trial reportStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2015

Converting from CT- to MRI-only-based target definition in radiotherapy of localized prostate cancer: A comparison between two modalities.

Tiina Seppälä, Harri Visapää, Juhani Collan, Mika Kapanen, Annette Beule, Mauri Kouri, Mikko Tenhunen, Kauko Saarilahti

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
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  8. Article
  9. Penile bulb sparing in prostate cancer radiotherapy : Dose analysis of an in-house MRI system to improve contouring.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
    Article
  10. Article
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  13. 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.

Tiina SeppäläComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland. tiina.seppala@hus.fi.
Harri VisapääComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Juhani CollanComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Mika KapanenComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Annette BeuleHUS Medical Imaging Center, Radiology, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Mauri KouriComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Mikko TenhunenComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.
Kauko SaarilahtiComprehensive Cancer Center, University of Helsinki and Helsinki University Hospital, POB 180, 00029, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the conversion of prostate cancer radiotherapy (RT) target definition from CT-based planning into an MRI-only-based planning procedure. MATERIALS AND

methodsUsing the CT- and MRI-only-based RT planning protocols, 30 prostate cancer patients were imaged in the RT fixation position. Two physicians delineated the prostate in both CT and T2-weighted MRI images. The CT and MRI images were coregistered based on gold seeds and anatomic borders of the prostate. The uncertainty of the coregistration, as well as differences in target volumes and uncertainty of contour delineation were investigated. Conversion of margins and dose constraints from CT- to MRI-only-based treatment planning was assessed.

resultsOn average, the uncertainty of image coregistration was 0.4 ± 0.5 mm (one standard deviation, SD), 0.9 ± 0.8 mm and 0.9 ± 0.9 mm in the lateral, anterior-posterior and base-apex direction, respectively. The average ratio of the prostate volume between CT and MRI was 1.20 ± 0.15 (one SD). Compared to the CT-based contours, the MRI-based contours were on average 2-7 mm smaller in the apex, 0-1 mm smaller in the rectal direction and 1-4 mm smaller elsewhere.

conclusionWhen converting from a CT-based planning procedure to an MRI-based one, the overall planning target volumes (PTV) are prominently reduced only in the apex. The prostate margins and dose constraints can be retained by this conversion.

Indexed as

AdenocarcinomaAgedAged, 80 and overHumansMagnetic Resonance ImagingMaleMiddle AgedOrgans at RiskProstatic NeoplasmsRadiotherapy, ConformalRadiotherapy DosageRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedReproducibility of ResultsSensitivity and SpecificityTomography, X-Ray ComputedBladderImagingIntensity-modulated radiotherapyOrgans at riskRectum

Identifiers

What OpenQuestion holds

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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.